PT - JOURNAL ARTICLE AU - David Colvin AU - Peter Mallett AU - Naomi McMahon AU - Thomas Bourke AU - Andrew Thompson AU - William McCallion TI - How to use perianal examination in children AID - 10.1136/archdischild-2018-315427 DP - 2020 Apr 01 TA - Archives of disease in childhood - Education & practice edition PG - 89--93 VI - 105 IP - 2 4099 - http://ep.bmj.com/content/105/2/89.short 4100 - http://ep.bmj.com/content/105/2/89.full SO - Arch Dis Child Educ Pract Ed2020 Apr 01; 105 AB - 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.