By rray, 11 December, 2014 L:Low evidence quality - further research very likely to affect future recommendations
By rray, 11 December, 2014 M:Moderate evidence quality - further research likely to affect future recommendations
By rray, 11 December, 2014 H:High evidence quality - further research unlikely to alter confidence about efficacy
By rray, 11 December, 2014 WR:Weak recommendation - clinicians should examine evidence, debate required
By rray, 11 December, 2014 SR:Strong recommendation - most pts should receive tx, applies to most clinical situations
By rray, 11 December, 2014 Exam: longitudinal fissure; 90% are posterior midline (can also occur in anterior midline); if lateral, consider Crohn dz, TB, syphilis, HIV/AIDS, derm conditions (eg, psoriasis), anal CA