Examination of a Rectal Case

HISTORY-

• 1. Bleeding-

  2. Discharge of pus or mucus-

  3. Pain-

  4. Abnormality of the bowel habit-

  5. Prolapse-

  6. Other complaints-

Past History-

Family history-

RECTAL EXAMINATION

Position of Patient:

• 1. The left lateral position (Sims')-

  2. Dorsal position-

  3. The Knee-Elbow position-

  4. Right lateral position-

  5. Lithotomy position-

INSPECTION:

PALPATION:

DIGITAL RECTAL EXAMINATION:

• • Within the Lumen-

  • In the Wall-

  • Outside the Wall-

Bimanual Examination-

Abdominal Examination-

Lymph Nodes-

Special investigations in Rectal case

Differential diagnosis in Rectal case

Ano-rectal malformation