Rectal prolapse physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Rectal prolapse can be diagnosed in outpatient clinics by history taking and inspection of the protruded rectum.<ref name="pmid21431090">{{cite journal |vauthors=Shin EJ |title=Surgical treatment of rectal prolapse |journal=J Korean Soc Coloproctol |volume=27 |issue=1 |pages=5–12 |year=2011 |pmid=21431090 |pmc=3053504 |doi=10.3393/jksc.2011.27.1.5 |url=}}</ref> Physical examination of patients with rectal prolapse is usually remarkable for a | Rectal prolapse can be diagnosed in outpatient clinics by history taking and inspection of the protruded rectum.<ref name="pmid21431090">{{cite journal |vauthors=Shin EJ |title=Surgical treatment of rectal prolapse |journal=J Korean Soc Coloproctol |volume=27 |issue=1 |pages=5–12 |year=2011 |pmid=21431090 |pmc=3053504 |doi=10.3393/jksc.2011.27.1.5 |url=}}</ref> Physical examination of patients with rectal prolapse is usually remarkable for a .<ref name="pmid24352613">{{cite journal |vauthors=Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE |title=Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies |journal=J. Gastrointest. Surg. |volume=18 |issue=5 |pages=1059–69 |year=2014 |pmid=24352613 |doi=10.1007/s11605-013-2427-7 |url=}}</ref> | ||
Anal inspection may reveal normal anal area, skin excoriation or irritation and the patulous anus and prolapsed rectum can become visible in a sitting position.<ref name="pmid29050194">{{cite journal |vauthors=Patcharatrakul T, Rao SSC |title=Update on the Pathophysiology and Management of Anorectal Disorders |journal=Gut Liver |volume= |issue= |pages= |year=2017 |pmid=29050194 |doi=10.5009/gnl17172 |url=}}</ref> | Anal inspection may reveal normal anal area, skin excoriation or irritation and the patulous anus and prolapsed rectum can become visible in a sitting position.<ref name="pmid29050194">{{cite journal |vauthors=Patcharatrakul T, Rao SSC |title=Update on the Pathophysiology and Management of Anorectal Disorders |journal=Gut Liver |volume= |issue= |pages= |year=2017 |pmid=29050194 |doi=10.5009/gnl17172 |url=}}</ref> | ||
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=== Abdomen: === | === Abdomen: === | ||
* Abdominal examination of patients with [disease name] is usually normal. | * Abdominal examination of patients with [disease name] is usually normal. | ||
=== '''Pelvic:''' === | |||
* Large rectal mass or bulge that may or may not spontaneously reduce at the completion of a bowel movement or straining | |||
* | |||
=== Back: === | === Back: === | ||
Revision as of 18:54, 30 January 2018
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Rectal prolapse physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Patients with rectal prolapse usually have rectal mass or bulge in physical examination.
Physical Examination
Rectal prolapse can be diagnosed in outpatient clinics by history taking and inspection of the protruded rectum.[1] Physical examination of patients with rectal prolapse is usually remarkable for a .[2] Anal inspection may reveal normal anal area, skin excoriation or irritation and the patulous anus and prolapsed rectum can become visible in a sitting position.[3]
Appearance of the Patient:
- Patients with inguinal hernia usually appear good
Vital Signs:
- Normal vital signs
Skin:
- Skin examination of patients with rectal prolapse is usually normal.
HEENT:
- HEENT examination of patients with [disease name] is usually normal.
Neck:
- Neck examination of patients with [disease name] is usually normal.
Lungs:
- Pulmonary examination of patients with [disease name] is usually normal.
Heart:
- Cardiovascular examination of patients with [disease name] is usually normal.
Abdomen:
- Abdominal examination of patients with [disease name] is usually normal.
Pelvic:
- Large rectal mass or bulge that may or may not spontaneously reduce at the completion of a bowel movement or straining
Back:
- Back examination of patients with rectal prolapse is usually normal.
Genitourinary:
- Genitourinary examination of patients with [disease name] is usually normal.
OR
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
Neuromuscular:
- Neuromuscular examination of patients with [disease name] is usually normal.
Extremities:
- Extremities examination of patients with [disease name] is usually normal.
References
- ↑ Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.
- ↑ Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). "Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies". J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.
- ↑ Patcharatrakul T, Rao S (2017). "Update on the Pathophysiology and Management of Anorectal Disorders". Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)