%0 Journal Article %A David Colvin %A Peter Mallett %A Naomi McMahon %A Thomas Bourke %A Andrew Thompson %A William McCallion %T How to use perianal examination in children %D 2020 %R 10.1136/archdischild-2018-315427 %J Archives of disease in childhood - Education & practice edition %P 89-93 %V 105 %N 2 %X No examination of a child’s abdomen or gastrointestinal system is complete without an examination of the ’backside' or perineum, however there is often reluctance among paediatricians to perform this examination routinely. This article aims to describe how to use perineal examination in infants and children. It discusses the indications and stepwise approach to performing a per-rectal examination and interpretation of the findings one could expect to encounter. We include four cases encompassing the major conditions, both congenital and acquired, that paediatricians should be aware of and how they were managed in our institution. %U https://ep.bmj.com/content/edpract/105/2/89.full.pdf