Examination of the anus

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Chapter 10 Examination of the anus


Petrut Gogalniceanu, William Lynn and Andrew T. Raftery




Checklist



WIPER




Chaperone and good light source



Gloves and lubricating gel



Patient on couch, left lateral position, knees up towards the chest



Physiological parameters



General




Perineal excoriation or dermatitis



Abnormal discharge at the anal verge: pus, blood, faeces



External




Inspection of gluteal cleft: pilonidal disease (sinus or abscess)



Inspection of perineum:




erythema, abnormal moisture or purulent discharge



haemorrhoids, abscesses, fissures, fistulas, skin tags



scars or wounds from previous abscess drainage



setons



anorectal prolapse (ask patient to cough)



Palpation:




anal sphincter contour



perianal sensation

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Feb 18, 2017 | Posted by in GENERAL SURGERY | Comments Off on Examination of the anus

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