Rectal prolapse physical examination
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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] 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.[2]
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:
The following findings may be found on pelvic examination of a patient with rectal prolapse:
- Large rectal mass or bulge that may or may not spontaneously reduce at the completion of a bowel movement or straining [3]
- Skin excoriation or irritation of anus
- Patulous anus
- Prolapsed rectum
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
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.
- ↑ 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)
- ↑ 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.