By rray, 11 December, 2014 Exam: longitudinal fissure; 90% are posterior midline (can also occur in anterior midline); if lateral, consider Crohn dz, TB, syphilis, HIV/AIDS, derm conditions (eg, psoriasis), anal CA
By rray, 11 December, 2014 Hx: “tear” felt during firm BM or diarrhea, pain during/after BMs and BRBPR w/ wiping
By rray, 11 December, 2014 ACG Clinical Guideline: Management of Benign Anorectal Disorders. <i>Am J Gastroenterol.</i> 2014;109(8):1141-47.