Medical device diagnostics are usually not required. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Proctoscopy (rectoscopy; examination of the anal canal and lower rectum) – required only in cases of deep thrombosis localized in the anal … Anal Vein Thrombosis: Diagnostic Tests
1st order for severe pain and fresh anal vein thrombosis. Incision (“cutting”) and expression (squeezing) of the thrombus [risk of early recurrence/early recurrence and marisco formation/skin fold in the anus area]. Excision (surgical removal) of the entire affected area, including vessel. Further note Acute hemorrhoidal thrombosis should primarily be treated conservatively. Note: Anal vein thrombosis … Anal Vein Thrombosis: Surgical Therapy
In anal vein thrombosis (AVT) (synonyms: Anal thrombosis, perianal thrombosis, perianal vein thrombosis, perianal thrombosis; ICD-10-GM K64.5) is a thrombus (blood clot) in one of the subcutaneous (“under the skin“) veins of the caudal haemorrhoidal plexus in the region of the anus. Anal vein thrombosis refers to thrombosis of a perianal vein (as opposed to … Anal Vein Thrombosis
Medical history (history of illness) is an important component in the diagnosis of anal venous thrombosis. Family history Social history What is your occupation? Current medical history/systemic history (somatic and psychological complaints). What complaints have you noticed? Did the discomfort occur within minutes to hours? How long have the complaints existed? Have you palpated a … Anal Vein Thrombosis: Medical History
Cardiovascular System (I00-I99). Mariske – nonretractable flaccid skin folds at the anus. Hemorrhoidal thrombosis (synonym: thrombosed hemorrhoid) – thrombosis (obstruction of a blood vessel by a clot) of one or more hemorrhoidal nodes. Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Anal abscess – collection of pus around the anus (with burning, stabbing, and … Anal Vein Thrombosis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by anal venous thrombosis: Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Spontaneous rupture of anal vein thrombosis.
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection of anal region/anal canal [redness?, swelling, nodules?, lobules?, prolapsed tissue?, prallel elastic nodule perianally (usually pinhead- to plum-sized), bluish-red, possibly several pearly strings in a row; at anal margin or … Anal Vein Thrombosis: Examination
Laboratory diagnosis is usually not required.
Therapeutic target Pain relief Therapy recommendations Analgesic/pain reliever (nonsteroidal anti-inflammatory drugs, NSAIDs). Without therapy, spontaneous perforation (“opening without external action”) with emptying of the coagulum (blood clot) often occurs. See also under “Surgical therapy” and “Further therapy”. Further note Acute hemorrhoidal thrombosis should primarily be treated conservatively. Note: Anal vein thrombosis refers to thrombosis of … Anal Vein Thrombosis: Drug Therapy
Blood, blood-forming organs-immune system (D50-D90). Febris uveoparotidea (Heerfordt syndrome) – chronic inflammation of the parotid (parotid gland) and lacrimal glands. It may be associated with involvement of the iris and ciliary body of the eye (iridocyclitis), cranial nerves, female breast, or gonads; occurs especially in association with sarcoidosis (synonyms: Boeck’s disease; Schaumann-Besnier’s disease; systemic disease … Salivary Gland Inflammation (Sialadenitis): Or something else? Differential Diagnosis
Therapy for heartburn depends on the cause. General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day); reflux symptoms are triggered in particular by acidic white wines and high-proof drinks, if necessary also alcohol restriction (abstaining from alcohol). Limited caffeine … Heartburn (Pyrosis): Therapy
In sialadenitis (thesaurus synonyms: Sialoadenitis; salivary gland inflammation; inflammation of a salivary gland; abscess of the sublingual glands; abscess of the submandibular glands; abscess of the salivary gland duct; adenitis of the salivary glands; adenitis of the salivary gland duct; acute parotitis; acute sialadenitis; chronic parotitis; chronic sialadenitis; suppuration of the salivary gland duct; purulent … Salivary Gland Inflammation (Sialadenitis)
