Anus Rectum and Prostate Chapter 25 Elsevier items
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Anus, Rectum, and Prostate Chapter 25 Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Slide 12 -
Chapter 25: Anus, Rectum, and Prostate Structure and Function Subjective Data—Health History Questions Objective Data—The Physical Exam Abnormal Findings Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 2
Chapter 25: Anus, Rectum, and Prostate Structure and Function Anus and Rectum Anal canal Sphincters Anal columns Anorectal junction Anal valve Anal crypt Rectum Valves of Houston Peritoneal reflection Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 3
Chapter 25: Anus, Rectum, and Prostate Anus and Rectum Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 4
Chapter 25: Anus, Rectum, and Prostate Structure and Function (cont. ) Prostate gland Ø Position in pelvis Ø Lobes and median sulcus Seminal vesicles Bulbourethral glands Regional structures Ø Sigmoid colon Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 5
Chapter 25: Anus, Rectum, and Prostate Anatomy of the Prostate Gland Seminal Vesicles Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 6
Chapter 25: Anus, Rectum, and Prostate 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) Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 7
Chapter 25: Anus, Rectum, and Prostate Objective Data—The Physical Exam Preparation Ø Position Equipment needed Ø Penlight Ø Lubricating jelly Ø Glove Ø Guaiac test container Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 8
Chapter 25: Anus, Rectum, and Prostate Rectal Examination Positions Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 9
Chapter 25: Anus, Rectum, and Prostate Objective Data—The Physical Exam (cont. ) Inspection of the Perianal Area Skin Anal opening Sacrococcygeal area Valsalva maneuver Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 10
Chapter 25: Anus, Rectum, and Prostate Objective Data—The Physical Exam (cont. ) Palpation of the Anus and Rectum Palpation technique Canal wall Perianal tissue Rectal wall Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 11
Chapter 25: Anus, Rectum, and Prostate Objective Data—The Physical Exam (cont. ) Palpation of the Anus and Rectum (cont. ) Prostate gland Ø Size Ø Shape Ø Surface Ø Consistency Ø Mobility Ø Sensitivity Examination of stool for occult blood Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 12
Chapter 25: Anus, Rectum, and Prostate Sample Charting Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 13
Chapter 25: Anus, Rectum, and Prostate Sample Charting (cont. ) Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 14
Chapter 25: Anus, Rectum, and Prostate Abnormal Findings Anus and Perianal Region Pilonidal cyst or sinus Anorectal fistula Fissure Hemorrhoids Rectal prolapse Pruritus ani Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 15
Chapter 25: Anus, Rectum, and Prostate Pilonidal cyst or sinus Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 16
Chapter 25: Anus, Rectum, and Prostate Anorectal fistula Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 17
Chapter 25: Anus, Rectum, and Prostate Fissure Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 18
Chapter 25: Anus, Rectum, and Prostate Hemorrhoids Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 19
Chapter 25: Anus, Rectum, and Prostate Pruritis Ani Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 20
Chapter 25: Anus, Rectum, and Prostate Abnormal Findings Rectum Abscess Rectal polyp Fecal impaction Carcinoma Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 21
Chapter 25: Anus, Rectum, and Prostate Rectal prolapse Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 22
Chapter 25: Anus, Rectum, and Prostate Abnormal Findings Prostate Gland Benign prostatic hypertrophy (BPH) Prostatitis Carcinoma Abscess Rectal polyp Fecal impaction Carcinoma Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 23
Chapter 25: Anus, Rectum, and Prostate Which of the positions illustrated above would be appropriate for this examination on an adult male patient? A. Left lateral B. Lithotomy C. Standing Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 24
Chapter 25: Anus, Rectum, and Prostate Which of the positions illustrated above would be appropriate for this examination combined with the pelvic examination on an adult female patient? A. Left lateral B. Lithotomy C. Standing Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. 25