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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.
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.
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
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Rectal tenesmus is a feeling of incomplete defecation. [1] It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated.
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