Describing a rectal
examination and prostate
(Per Rectal examination is a part of abdominal
examination and no per rectal examination is complete without perineal
examination, per rectal examination and examination of supraclavicular node
(Nodes of Virchow) along with renal angle tenderness. The following describes a
normal finding of per rectal examination. If any abnormality or significant
findings it must be described
accordingly.)
Inspection
On inspection of the perineal area, no redness, no any
perianal mass or tag, no fissure, no ulceration or any sinus opening seen.
Palpation
No palpation of the perineal area, there is no local rise in
temperature, no tenderness felt. No any palpable mass present.
Digital Rectal Examination
The tone of the sphincter is normal with no tenderness is
present.
The anal canal is empty and no hard masses, impacted fecal
material and polyps are palpable.
The mucosa overlying the anal canal is soft and mobile.
There is no any palpable ulceration and fungating mass on examination of the
walls of anal canal.
The prostate is enlarged and the upper border can not be
palpated. The consistency is firm, the surface is smooth and borders are
regular. The median sulcus can be palpated well and the mucosa overlying the
prostate is freely mobile.
No blood stain was present on the tip of the finger at the
end of digital Rectal Examination.
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