Diagnosing an anal disorder without an anal examination must affect correct diagnosis, such as anal fissure with skin tag (pain and anal swelling with/without rectorrhagia), anal fistula (anal discharge with/without swelling), anal condyloma, and anal cancer.
While patients with GCPS share facial features such as hypertelorism and broad nasal bridge with OS patients, PHS patients can present with cleft lip/palate and laryngotracheal and anal malformations, which can also be found in OS patients.
Patients with OS may present with hypertelorism, broad nasal bridge, cleft lip and palate, laryngotracheal clefts, anal defects, and hypospadias.
PHS patients may present with cleft lip, palate or uvula, laryngeal clefts and tracheal defects, anal defects, and limb malformations like syn-, pory- oligodactylyyly.
The most common and severe CMs are included among a selected group that may be more sensitive to the preventive action of FA (NTDs, oral clefts, cardiac defects, urinary tract anomalies, limb reduction defects, omphalocele, anal atresia).
The prevalence of specific types of congenital anomalies at low and high altitudes in South America is higher in the high altitude lands than in the lowlands, especially for six types of birth defects: cleft lip, microtia, preauricular tag, branchial arch anomaly complex, constriction band complex, and anal atresias.
This included scratches, abrasions, tears, bruising, haematomas, and bleeding in the genito-anal area, hymenal clefts or swelling, cuts in the genital area and swelling in the anal area [ 61].
Cleft lip and palate, agenesis of the corpus callosum, tracheo-esophageal fistulas, congenital heart defects and anal defects are found additionally with variable penetrance [1].
A double anal is a double anal.
