Today our topic of discussion is Rectal Examination.

Rectal Examination

RECTAL EXAMINATION

Rectal examination is an essential part of every compre- hensive physical examination involves inspection and palpations (Fig. 28.50).

Purpose

Methods and Position

The rectal examination done by visual examination and digital examination of the anus and the rectum are indispensable for detecting and identifying lesions involving these structures
Rectal examination may be done with the patient in the knee chest position, Sims lateral, or inverted position, on a special protoscopic table.

Preliminary Assessment

Preparation of the Patient and Environment

Lubricate your index finger and instinct the client to beds downward as through having a bowel movement.
This relaxes them and sphincles
Slowly insert your finger into the rectum in the direction of the umbilicus
The end canal distance from the end opening to the anorectal junction) is short (3 cm)
The posterior wall of the rectum follows the curve of the cay coccyx and sacrum
Never force digital insertion. If lesion and painful bleeding occurs disconnection the examination
Ask the client to the end sphincters around your finger and note the tone of the end spooled
Ask the client to tighten the and sphincters around your and note the tone of the anal sphincter
Rotate the pad of the index finger a long the anal and rectal feeling for nodules masses and tenderness
Note the location of any abnormalities of the rectum.

Equipments

Procedure

Inspect the anus and surroundings tissue for colon, integrity and skin lesion
Then ask the client to bear down as through defecting
Beading down creates sight pressure on the skin that may accentuate rectal lapse polyps
Describe the location of all abnormal findings in items of check with the 2 o’clock position between the pubic symphysis
Palpate the rectum for any sphincter ani take care of the patient who is under the effect of anesthesia
Palpate the prostate gland.

Rectal Examination

Complications

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