Rectal prolapse physical examination: Difference between revisions

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* A pelvic/adnexal mass may be palpated
* A pelvic/adnexal mass may be palpated
* Inflamed mucosa
* Inflamed mucosa
* Clear/(color), foul-smelling/odorless penile/vaginal discharge


=== Neuromuscular: ===
=== Neuromuscular: ===

Revision as of 21:33, 29 January 2018

Rectal prolapse Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rectal Prolapse from other Diseases

Epidemiology and Demographics

Risk Factors

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Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

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Ultrasound

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Treatment

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Surgery

Primary Prevention

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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 large rectal mass or bulge that may or may not spontaneously reduce at the completion of a bowel movement or straining.[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]

  • Physical examination of patients with [disease name] is usually normal.

OR

  • Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
  • The presence of [finding(s)] on physical examination is diagnostic of [disease name].
  • The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient:

  • Patients with rectal prolapse usually appear [general appearance].

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.

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

  1. 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.
  2. 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.
  3. 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)

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