Wednesday, June 13, 2012

Guidelines to Digital Rectal Examination (DRE) - Ain Shams university undergraduate courses


Guidelines to Digital Rectal Examination (DRE)
Ain Shams university undergraduate courses

  1. Introduce yourself to the patient
  2. Explain the maneuver and take an oral consent
  3. Position the patient (lithotomy, lateral, standing bent over or knee chest)
  4. Wear disposable  gloves
  5. Generously lubricate index finger of examining hand
  6. Separate the buttocks and inspect the anus
  7. Gently insert the lubricated index finger while comforting the patient                             (waiting for a few seconds will relax the anal sphincter allowing introduction of the entire finger)
  8. In slow, firm, circular finger motion palpate the posterior prostatic surface
  9. Comment on the following:
·      Anal tone
·      Anal or rectal masses
·      Prostatic size (normally size of a chestnut)
·      Prostatic consistency (normally as a contracted thenar eminence)
·      Prostatic symmetry (normally both lobes are symmetrical)
·      Palpable prostatic nodule or irregularity
·      Induration in bladder base

Reply:

1 Comments:

atef soliman said...

thanks
comment also include
anal sensation, reflexes, thrombosed pills,....
posterior urethra
prostate: motility, sulci, position, surface, ....
seminal v. pathology,
on withdrawal look at glove for blood

Post a Comment

Twitter Delicious Facebook Digg Stumbleupon Favorites More

 
Design by Free WordPress Themes | Bloggerized by Lasantha - Premium Blogger Themes | Bluehost Review