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An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation , [ 1 ] but with chronic fissures, pain intensity often reduces and becomes cyclical.
Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
Mercedes Benz sign is a radiological sign seen due to the presence of gallstones. [1] It is a triradiate shadow, characteristic of the Mercedes-Benz automobile trademark. [ 2 ] The sign occurs due to the gas fissuring within the gallstone.
Tears are classified into four categories: [4] [5] First-degree tear: laceration is limited to the fourchette and superficial perineal skin or vaginal mucosa; Second-degree tear: laceration extends beyond fourchette, perineal skin and vaginal mucosa to perineal muscles and fascia, but not the anal sphincter
Schematic image comparing a skin fissure to an erosion and an ulcer. The surface of the knuckles of a hand with xeroderma, showing skin cracking (generalized skin fissuring). A skin fissure is a cutaneous condition in which there is a linear-like cleavage of skin, sometimes defined as extending into the dermis. [1] It is smaller than a skin ...
Fissured tongue is seen in Melkersson–Rosenthal syndrome (along with facial nerve paralysis and granulomatous cheilitis).It is also seen in most patients with Down syndrome, in association with geographic tongue, in patients with oral manifestations of psoriasis, and in healthy individuals.
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The fissure may be increased in vertical height in Graves' disease, which is manifested as Dalrymple's sign. It is seen in disorders such as cri-du-chat syndrome. In animal studies using four times the therapeutic concentration of the ophthalmic solution latanoprost, the size of the palpebral fissure can be increased. The condition is reversible.