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rectal examination videos
UC San Diego's Practical Guide to Clinical Medicine
The rectal exam is important to make sure causes of rectal bleeding such as hemorrhoids are not missed. Additionally, understanding how to palpate the prostate gland is important for looking for cancer and diagnosis prostatitis. A rectal exam should be performed on most patients with abdominal pain and any concern for blood loss. Here, we review some important steps of a compete rectal exam.
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This is generally the last part of the complete physical examination. While it may cause the patient and perhaps you some embarrassment as well as discomfort, it provides important information and should not be skipped. Explain to the patient what you are going to do and why and then proceed. If they have not already done so, ask the patient to remove their underwear. I believe that this examination is easier to perform and yields more information if it is done with the patient standing while you are seated in front of them.