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Anus, Rectum, and Prostate

Anus, Rectum, and Prostate. Chapter 25. Structure and Function Subjective Data—Health History Questions Objective Data—The Physical Exam Abnormal Findings. Subjective Data— Health History Questions. Usual bowel routine Change in bowel habits Rectal bleeding or blood in the stool

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Anus, Rectum, and Prostate

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  1. Anus, Rectum, and Prostate Chapter 25

  2. Structure and Function • Subjective Data—Health History Questions • Objective Data—The Physical Exam • Abnormal Findings

  3. Subjective Data—Health History Questions • Usual bowel routine • Change in bowel habits • Rectal bleeding or blood in the stool • Medications (laxatives, stool softeners, iron) • Rectal conditions (pruritus, hemorrhoids, fissure, fistula) • Family history • Self-care behaviors (diet of high-fiber foods, most recent examinations)

  4. Objective Data—The Physical Exam • Preparation • Position • Equipment needed • Penlight • Lubricating jelly • Glove • Guaiac test container

  5. Objective Data—The Physical Exam (cont.) Inspection of the Perianal Area • Skin • Anal opening • Sacrococcygeal area • Valsalva maneuver

  6. Abnormal FindingsAnus and Perianal Region • Pilonidal cyst or sinus • Anorectal fistula • Fissure • Hemorrhoids • Rectal prolapse • Pruritus ani

  7. Pilonidal cyst or sinus

  8. Anorectal fistula

  9. Fissure

  10. Hemorrhoids

  11. Pruritis Ani

  12. Abnormal FindingsRectum • Abscess • Rectal polyp • Fecal impaction • Carcinoma

  13. Rectal prolapse

  14. Abnormal FindingsProstate Gland • Benign prostatic hypertrophy (BPH) • Prostatitis • Carcinoma • Abscess • Rectal polyp • Fecal impaction • Carcinoma

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