Perianal Problems


The student knows the basic anatomy of the anal canal and rectum and is familiar with the basics of the mechanism of defecation.

Knowledge Objectives

Through their reading and patient care experiences, at the end of the rotation students should be able to:

Develop a differential diagnosis for a patient with perianal pain including benign, malignant and inflammatory causes.
Discuss the characteristic history findings for each of the above including:
character and duration of complaint
presence or absence of associated bleeding
relationship of complaint to defecation
Describe physical exam findings for each diagnosis. Indicate in which part of exam (external, digital, anoscopic or proctoscopic) these findings are identified.
Discuss treatment plan for each diagnosis listed in objective one, including non-operative interventions and role and timing of surgical interventions.
Discuss dietary habits which may help prevent anorectal problems.