title: [First consultation for an anorectal problem].
abstract: In theory, the first appointment for an anorectal problem is an easy consultation. Indeed, questioning the patient usually provides a suspicion of the diagnosis and the clinical examination is all the easier because the affected area is very accessible allowing immediate examination of the anatomical and clinical features. In addition therapeutic measures can be taken straight away in most cases. However conducting this consultation can be difficult in practice, particularly because of a taboo about the anal region. It is better, therefore, to observe a few rules for smoothly managing the different stages of this consultation.
authors.affiliation: Service de proctologie médico-interventionnelle, groupe hospitalier Diaconesses Croix Saint-Simon, site de Reuilly, 75012 Paris, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: de Parades
authors.forename: Michèle
authors.initials: M
authors.lastname: Gry
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Lang
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000033:anatomy & histology / Q000098:blood supply; D001004:Anus Diseases / Q000175:diagnosis*; D001005:Anus Neoplasms / Q000175:diagnosis; D003107:Colorectal Surgery; D003218:Condylomata Acuminata / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006484:Hemorrhoids / Q000175:diagnosis; D006801:Humans; D008297:Male; D010173:Palpation; D010808:Physical Examination; D010817:Physician-Patient Relations; D011351:Proctoscopy; D012007:Rectum / Q000033:anatomy & histology / Q000098:blood supply