Palpation of rugae with a gloved finger detects:
Put together, the feature creates between life/growth and destruction/void. rugiuose prie bedugnes analize
Svarbiausia kūrinio ašis – Holdeno pasibjaurėjimas tuo, ką jis vadina „netikrumu“ ( phoniness ). Jam suaugusiųjų pasaulis asocijuojasi su veidmainyste, tuščiomis mandagumo frazėmis ir socialinių vaidmenų vaidinimu. Palpation of rugae with a gloved finger detects:
| Condition | Rugal appearance | Key distinguishing feature | |-----------|----------------|----------------------------| | External hemorrhoids | Stretched, bluish, smooth | Thrombosis causes acute painful nodule | | Anal fissure | Unilateral edema, loss of rugae | Severe tearing pain with defecation | | Perianal Crohn’s disease | Deep, knife-like ulcers crossing rugae | Often painless; associated with skin tags (mucous skin tags) | | Condyloma acuminata | Verrucous papules, rugae distorted but not obliterated | Viral warts; acetowhite with vinegar test | | Pruritus ani | Excoriations, lichenification (thickened rugae) | Intense itching; no structural loss | | Condition | Rugal appearance | Key distinguishing