Examination of rectal case
•
7 likes•253 views
This document discusses procedures for examining the rectum, including inspection, palpation, digital rectal examination, bimanual palpation, and proctoscopy. It details what medical professionals should look for during each examination, such as sentinel piles, fissures, fistulas, hemorrhoids, polyps, strictures, and cancers. Locations that should be palpated outside the rectal wall are also specified, including the prostate, seminal vesicles, bladder, and ischioanal areas. The document provides guidance on patient preparation and the details medical professionals should observe or note for each examination technique.
Report
Share
Report
Share
Recommended
Renal colic
Renal colic is a sudden, severe, dull pain that originates in the costovertebral angle and may radiate to the groin or abdomen. It is caused by obstruction of the ureter, usually by a kidney stone. Patients experience intermittent, colicky pain that is exacerbated by movement and relieved briefly by analgesics. Examination may reveal abdominal tenderness over the kidney area. Investigations include urinalysis, kidney imaging tests like ultrasound or CT scan to detect stones. Treatment focuses on pain relief, increasing fluid intake, and allowing stones to pass spontaneously when possible. Surgery is considered for larger stones or if conservative measures fail.
Rectal prolapse
The patient, a 65-year-old male, presented with rectal prolapse that had been progressively worsening over 10 days. Examination found a circumferential, reducible prolapse of rectal mucosa. The patient underwent a laparoscopic ventral mesh rectopexy procedure without complications and was recovering well on post-operative day 4 with no new issues.
Intestinal perforation
A brief review of intestinal perforation, presented by Dr. Sara Khalid Memon, from LUMHS, Jamshoro, Sindh, Pakistan
Urology 4 hydronephrosis
Hydronephrosis is the dilation of the renal pelvis and calyces caused by obstruction of urine flow from the kidney. It can be caused by issues in the ureter, bladder, or urethra that limit urine outflow. Unilateral hydronephrosis may cause dull flank pain while bilateral obstruction can lead to decreased urine output. Left untreated, hydronephrosis can damage kidney tissue and impair renal function. Diagnosis is made through imaging tests like intravenous pyelogram. Treatment focuses on resolving the underlying cause of obstruction.
Anorectal disorders
Anorectal Disorders including :
Anal canal & Rectum Anatomy
Haemorrhoids
Fissure in Ano
Pilonidal Sinus
Fistula in Ano
Rectal Prolapse
RECTAL PROLAPSE
This document discusses rectal prolapse, which is the protrusion of the rectum outside of the body. It describes the types of rectal prolapse as partial or complete. Risk factors include weakened muscles, trauma from childbirth, and conditions that increase abdominal pressure. Treatment depends on the type and severity of prolapse, ranging from injections to repair surgery via abdominal or perineal approaches. Complications of surgery include nerve damage, infection, and recurrence of prolapse.
Rectal bleeding
1) The document provides information on the evaluation and management of bleeding per rectum (BPR). It discusses the history, physical exam, differential diagnoses, investigations and treatment options for common causes of BPR.
2) Common causes of BPR include hemorrhoids, anal fissures, colorectal polyps, inflammatory bowel disease, diverticular disease, and colorectal cancers. The history can help determine if the bleeding is from distal or proximal lesions.
3) Physical exam involves digital rectal exam to feel for masses or other abnormalities. Initial investigations include labs, endoscopy, and imaging. Treatment depends on the underlying cause but may include medications, procedures like banding or surgery.
Liver abscess
Liver abscesses can be pyogenic (caused by bacteria), amoebic (caused by Entamoeba histolytica), or fungal. Pyogenic liver abscesses are most commonly located in the right lobe due to blood flow patterns and are usually caused by gram-negative bacteria like E. coli. Patients present with fever, right upper quadrant pain, hepatomegaly, and diarrhea in some cases of amoebic abscess. Diagnosis involves blood tests, imaging like CT or ultrasound, and abscess fluid culture. Treatment is drainage of pus combined with antibiotics, usually percutaneous catheter drainage guided by imaging. For amoebic abscess, metronidazole is usually
Recommended
Renal colic
Renal colic is a sudden, severe, dull pain that originates in the costovertebral angle and may radiate to the groin or abdomen. It is caused by obstruction of the ureter, usually by a kidney stone. Patients experience intermittent, colicky pain that is exacerbated by movement and relieved briefly by analgesics. Examination may reveal abdominal tenderness over the kidney area. Investigations include urinalysis, kidney imaging tests like ultrasound or CT scan to detect stones. Treatment focuses on pain relief, increasing fluid intake, and allowing stones to pass spontaneously when possible. Surgery is considered for larger stones or if conservative measures fail.
Rectal prolapse
The patient, a 65-year-old male, presented with rectal prolapse that had been progressively worsening over 10 days. Examination found a circumferential, reducible prolapse of rectal mucosa. The patient underwent a laparoscopic ventral mesh rectopexy procedure without complications and was recovering well on post-operative day 4 with no new issues.
Intestinal perforation
A brief review of intestinal perforation, presented by Dr. Sara Khalid Memon, from LUMHS, Jamshoro, Sindh, Pakistan
Urology 4 hydronephrosis
Hydronephrosis is the dilation of the renal pelvis and calyces caused by obstruction of urine flow from the kidney. It can be caused by issues in the ureter, bladder, or urethra that limit urine outflow. Unilateral hydronephrosis may cause dull flank pain while bilateral obstruction can lead to decreased urine output. Left untreated, hydronephrosis can damage kidney tissue and impair renal function. Diagnosis is made through imaging tests like intravenous pyelogram. Treatment focuses on resolving the underlying cause of obstruction.
Anorectal disorders
Anorectal Disorders including :
Anal canal & Rectum Anatomy
Haemorrhoids
Fissure in Ano
Pilonidal Sinus
Fistula in Ano
Rectal Prolapse
RECTAL PROLAPSE
This document discusses rectal prolapse, which is the protrusion of the rectum outside of the body. It describes the types of rectal prolapse as partial or complete. Risk factors include weakened muscles, trauma from childbirth, and conditions that increase abdominal pressure. Treatment depends on the type and severity of prolapse, ranging from injections to repair surgery via abdominal or perineal approaches. Complications of surgery include nerve damage, infection, and recurrence of prolapse.
Rectal bleeding
1) The document provides information on the evaluation and management of bleeding per rectum (BPR). It discusses the history, physical exam, differential diagnoses, investigations and treatment options for common causes of BPR.
2) Common causes of BPR include hemorrhoids, anal fissures, colorectal polyps, inflammatory bowel disease, diverticular disease, and colorectal cancers. The history can help determine if the bleeding is from distal or proximal lesions.
3) Physical exam involves digital rectal exam to feel for masses or other abnormalities. Initial investigations include labs, endoscopy, and imaging. Treatment depends on the underlying cause but may include medications, procedures like banding or surgery.
Liver abscess
Liver abscesses can be pyogenic (caused by bacteria), amoebic (caused by Entamoeba histolytica), or fungal. Pyogenic liver abscesses are most commonly located in the right lobe due to blood flow patterns and are usually caused by gram-negative bacteria like E. coli. Patients present with fever, right upper quadrant pain, hepatomegaly, and diarrhea in some cases of amoebic abscess. Diagnosis involves blood tests, imaging like CT or ultrasound, and abscess fluid culture. Treatment is drainage of pus combined with antibiotics, usually percutaneous catheter drainage guided by imaging. For amoebic abscess, metronidazole is usually
Rectal bleeding
This document provides information on differential diagnosis and evaluation of rectal bleeding. It discusses common causes such as hemorrhoids, anal fissures, and colorectal cancers. It describes approaches to history taking, physical examination, and investigations including proctoscopy, sigmoidoscopy, colonoscopy, and imaging. Key signs and symptoms of conditions causing rectal bleeding are summarized.
Ano rectal problems ppt
Anorectal Problems - PPT
By Prof. Dr. R. R. Deshpande
• This PPT has following contents – 1) Anatomical Aspect 2) Acute Constipation 3) Chronic Constipation 4) Congenital problems 5) Anal Stenosis 6) Anorecatl agenesis 7) Piles 8) Fissure in Ano 9) Fistula in Ano 10) Prolapse of Rectum 11) Pilonidal Sinus 12) Stricture of Anus & Rectum 13) Condyloma 14) Carcinoma of Rectum 15) Pruritus Ani 16) Ano Rectal pain 17) Anal Incontinence 18) Proctitis 19) Rectal Polyp 20) Ayurvedic Treatments
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Renal system history taking & urine analysis 2012
The document provides an overview of renal anatomy, physiology, and clinical assessment of the renal system. It describes:
1) The gross anatomy and vasculature of the kidneys and their role in fluid balance, waste excretion, and hormone production.
2) Common diseases of the kidney including infections, obstructions, and congenital abnormalities.
3) Methods for evaluating the renal system through history, physical exam findings like abnormalities in urination, and urine analysis including chemical tests, microscopy, and culture.
Rectal Examination
This document provides guidance on performing and documenting a rectal examination. Key points include introducing the procedure to the patient, ensuring privacy and having a chaperone present. The rectal examination technique involves inspecting the anus, gently inserting a lubricated finger into the rectum while rotating the wrist to examine all walls, and withdrawing to check for any findings. For males, this includes palpating the prostate gland to assess size, consistency and abnormalities. All findings should be fully documented.
Fistula in-ano
This document provides information on fistula-in-ano, including:
- It defines a fistula-in-ano as a track connecting the anal canal or rectum to the skin around the anus.
- It describes the anatomy of the anal canal and classifications of fistula types.
- Diagnosis involves physical exam, sometimes supplemented by imaging studies like MRI to better characterize complex fistulae.
- Treatment depends on the fistula type but may include fistulotomy, seton placement, or drainage of abscesses.
Amoebic liver abscess.ppt
1) Amoebic abscess is a complication of amoebic dysentery caused by the protozoa Entamoeba histolytica entering the liver via the portal vein.
2) Within the liver, the protozoa causes thrombosis, infarction and cytolytic activity resulting in the formation of a large, viscous abscess that often appears reddish-brown in color.
3) Symptoms include fever, abdominal pain localized to the liver, and tender hepatomegaly. Diagnosis is confirmed by abscess aspiration which reveals anchovy sauce-like pus.
Benign anorectal disease 1
This document provides an overview of benign anorectal diseases. It begins with the anatomy of the anorectum and anal canal, including structures like the anal sphincter. It then discusses conditions like hemorrhoids, anal fissures, anorectal abscesses, and fistulas. For each condition, it covers topics like etiology, classification, clinical presentation, examination findings, and treatment options both non-surgical and surgical. The document provides detailed information on procedures for these various anorectal conditions.
Hydrocele management
This document discusses the management and treatment of hydrocele. It outlines the necessary investigations which may include blood tests, urine tests, and chest x-rays. Ultrasound is helpful for determining testis position and abnormalities. Fluid aspiration can indicate different conditions. Surgical procedures like lord's plication and Jaboulay's operation are described for fixing different types of hydroceles. Post-operative care and potential complications are also covered. The document provides an overview of evaluating and treating hydroceles.
Inguinal hernia examination
This document provides guidance on examining patients for inguinal hernias. It details the steps of the examination including inspection, palpation techniques, and tests to determine the type and characteristics of any hernia present. The examination is described in both standing and supine positions. Differential diagnoses are also listed. The goal of the examination is to determine factors such as location, size, reducibility, and complications in order to accurately diagnose the presence of an inguinal hernia.
Urethritis
Urethritis is an inflammation of the urethra that is usually caused by a sexually transmitted disease like chlamydia or gonorrhea. Symptoms can include urethral discharge and burning during urination. Diagnosis involves examination for discharge and testing samples of urine or urethral secretions for bacteria and viruses. Treatment involves antibiotics to cure the infection as well as avoiding sexual activity until completion of treatment to prevent spread. Complications can include epididymitis, cystitis, and pelvic inflammatory disease if left untreated.
Abdominal mass
An abdominal mass can have various causes and require different treatments depending on the underlying condition. Examination of the patient and medical tests are needed to identify the location and cause of the mass. Common symptoms include abdominal pain, changes in appetite or bowel habits, weight changes, and the appearance of a mass. Serious symptoms may indicate life-threatening conditions like rapid mass growth or expansion accompanied by severe pain. Treatment options range from observation to surgery and may involve medications, drainage/removal of the mass, removal of part of an organ, or removal of the entire organ along with chemotherapy or radiation.
A Case of Chylous Ascites
- The patient presented with abdominal distension, leg swelling, and shortness of breath. Examination found ascites and signs of liver disease.
- Investigations showed abnormal liver function, renal cysts, para-aortic lymphadenopathy, and chylous ascites. A cervical lymph node biopsy found small cell lymphoma.
- The final diagnosis was small cell lymphoma infiltrating the liver and causing portal hypertension, chylous ascites, and possibly autoimmune hemolytic anemia. The patient deteriorated and died before chemotherapy could be started.
Perinephric abscess imaging
This document discusses perinephric abscesses. It defines the perinephric space as the area surrounding the kidney that contains fat, vessels and lymphatics. A perinephric abscess can result from a ruptured renal abscess, direct spread from pyelonephritis, or other inflammatory processes outside Gerota's fascia. Ultrasound and CT are used to identify fluid or soft tissue in the perinephric space. Percutaneous drainage under imaging guidance and antibiotics is the primary treatment, with surgery reserved for cases that do not respond to drainage and medication.
Hernia
This document provides information about hernia surgery. It describes the different types of hernias including inguinal, incisional, femoral, umbilical, and epigastric hernias. It discusses the common presenting complaints of a hernia such as a lump or pain and precipitating factors. The document outlines the process of examining a patient for a hernia including inspection, palpation, and tests like the cough impulse and Zeimann's technique to determine the type of hernia. It also provides guidance on examining other related areas like abdominal muscles and performing a full systemic examination of the patient.
Acute pancreatitis surgery seminar
Acute pancreatitis is inflammation of the pancreas that is usually reversible. It is commonly caused by gallstones or alcoholism. Symptoms include severe abdominal pain, vomiting, and fever. Diagnosis is based on elevated serum amylase and lipase levels. Severity is assessed using scoring systems like Ranson criteria or CT severity index. Mild cases are treated conservatively with IV fluids and analgesics while severe or infected cases require intensive care monitoring, antibiotics, and possibly surgical debridement of pancreatic necrosis.
Digital rectal examination/Skill lab/ OSCE
DIGITAL RECTAL EXAMINATION- Skill Lab- OSCE
#digitalrectalexamination #surgicaleducator #babysurgeon #skilllab #osce
Subscription Link: http://youtube.com/c/surgicaleducator...
Surgical Educator Android App link: https://play.google.com/store/apps/de...
Dear viewers,
• Greetings from “Surgical Educator”
• Today I am uploading one more video on Skill Lab procedure for your OSCE exam.
• In this episode, I am talking about the DRE- Digital Rectal Examination , the skill which should be mastered by all medical students.
• I hope you can master the skill by watching this video and can do all the steps in the correct sequence.
• You can enjoy all my videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
Rectal prolapse.pptx
The document provides tips for using a PowerPoint presentation on rectal prolapse. It recommends:
1. Freely editing and modifying the slides and adding your name.
2. Noting that half the slides are blank except for the title to facilitate active learning sessions.
3. Showing blank slides, asking students what they know, and then showing the content slide.
4. Rerunning the show at the end to reinforce learning.
5. Using this approach for 3 revisions to optimize learning.
It also provides the presentation format and sample content slides on topics like relevant anatomy, aetiology, clinical features, and management of rectal prolapse.
Splenomegaly
Explanation of what splenomegaly is in relation to its dimension deviation from normal spleen.Classification of splenomegaly according to it's size in adult and pediatric. The causes of splenomegaly along with the symptom that would manifest as a result of this anomaly. Lastly, diagnosis of splenomegaly
Abdominal tuberculosis
1. Abdominal tuberculosis poses a diagnostic challenge due to its non-specific symptoms which can lead to delays in diagnosis and complications. It commonly involves the lymph nodes, peritoneum, and gastrointestinal tract like the ileocecal region.
2. Imaging tests like ultrasound, CT scan, barium studies and laparoscopy are important for diagnosis as they can show features like lymphadenopathy, bowel wall thickening, strictures, and ascites. Histopathological examination of biopsy samples typically shows non-caseating granulomas.
3. Treatment involves a 6-month course of anti-tuberculosis drugs which is effective in resolving lesions. Surgery is only indicated for complications like obstruction or perfor
Obstructive jaundice
This document contains information on various biliary diseases including gallstones, cholangiocarcinoma, pancreatic cancer, and biliary strictures. It discusses the clinical presentation, investigations, and management of biliary obstructions of different types including those caused by stones, tumors, strictures, and cysts. The diagnosis and treatment of choledochal cysts and sclerosing cholangitis are also covered.
Types of Cancer Treatments | Forms of cancer treatment
Cancer treatment has advanced significantly over the years, offering patients various options tailored to their specific type of cancer and stage of disease. Understanding the different types of cancer treatments can help patients make informed decisions about their care. In this ppt, we have listed most common forms of cancer treatment available today.
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
More Related Content
What's hot
Rectal bleeding
This document provides information on differential diagnosis and evaluation of rectal bleeding. It discusses common causes such as hemorrhoids, anal fissures, and colorectal cancers. It describes approaches to history taking, physical examination, and investigations including proctoscopy, sigmoidoscopy, colonoscopy, and imaging. Key signs and symptoms of conditions causing rectal bleeding are summarized.
Ano rectal problems ppt
Anorectal Problems - PPT
By Prof. Dr. R. R. Deshpande
• This PPT has following contents – 1) Anatomical Aspect 2) Acute Constipation 3) Chronic Constipation 4) Congenital problems 5) Anal Stenosis 6) Anorecatl agenesis 7) Piles 8) Fissure in Ano 9) Fistula in Ano 10) Prolapse of Rectum 11) Pilonidal Sinus 12) Stricture of Anus & Rectum 13) Condyloma 14) Carcinoma of Rectum 15) Pruritus Ani 16) Ano Rectal pain 17) Anal Incontinence 18) Proctitis 19) Rectal Polyp 20) Ayurvedic Treatments
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Renal system history taking & urine analysis 2012
The document provides an overview of renal anatomy, physiology, and clinical assessment of the renal system. It describes:
1) The gross anatomy and vasculature of the kidneys and their role in fluid balance, waste excretion, and hormone production.
2) Common diseases of the kidney including infections, obstructions, and congenital abnormalities.
3) Methods for evaluating the renal system through history, physical exam findings like abnormalities in urination, and urine analysis including chemical tests, microscopy, and culture.
Rectal Examination
This document provides guidance on performing and documenting a rectal examination. Key points include introducing the procedure to the patient, ensuring privacy and having a chaperone present. The rectal examination technique involves inspecting the anus, gently inserting a lubricated finger into the rectum while rotating the wrist to examine all walls, and withdrawing to check for any findings. For males, this includes palpating the prostate gland to assess size, consistency and abnormalities. All findings should be fully documented.
Fistula in-ano
This document provides information on fistula-in-ano, including:
- It defines a fistula-in-ano as a track connecting the anal canal or rectum to the skin around the anus.
- It describes the anatomy of the anal canal and classifications of fistula types.
- Diagnosis involves physical exam, sometimes supplemented by imaging studies like MRI to better characterize complex fistulae.
- Treatment depends on the fistula type but may include fistulotomy, seton placement, or drainage of abscesses.
Amoebic liver abscess.ppt
1) Amoebic abscess is a complication of amoebic dysentery caused by the protozoa Entamoeba histolytica entering the liver via the portal vein.
2) Within the liver, the protozoa causes thrombosis, infarction and cytolytic activity resulting in the formation of a large, viscous abscess that often appears reddish-brown in color.
3) Symptoms include fever, abdominal pain localized to the liver, and tender hepatomegaly. Diagnosis is confirmed by abscess aspiration which reveals anchovy sauce-like pus.
Benign anorectal disease 1
This document provides an overview of benign anorectal diseases. It begins with the anatomy of the anorectum and anal canal, including structures like the anal sphincter. It then discusses conditions like hemorrhoids, anal fissures, anorectal abscesses, and fistulas. For each condition, it covers topics like etiology, classification, clinical presentation, examination findings, and treatment options both non-surgical and surgical. The document provides detailed information on procedures for these various anorectal conditions.
Hydrocele management
This document discusses the management and treatment of hydrocele. It outlines the necessary investigations which may include blood tests, urine tests, and chest x-rays. Ultrasound is helpful for determining testis position and abnormalities. Fluid aspiration can indicate different conditions. Surgical procedures like lord's plication and Jaboulay's operation are described for fixing different types of hydroceles. Post-operative care and potential complications are also covered. The document provides an overview of evaluating and treating hydroceles.
Inguinal hernia examination
This document provides guidance on examining patients for inguinal hernias. It details the steps of the examination including inspection, palpation techniques, and tests to determine the type and characteristics of any hernia present. The examination is described in both standing and supine positions. Differential diagnoses are also listed. The goal of the examination is to determine factors such as location, size, reducibility, and complications in order to accurately diagnose the presence of an inguinal hernia.
Urethritis
Urethritis is an inflammation of the urethra that is usually caused by a sexually transmitted disease like chlamydia or gonorrhea. Symptoms can include urethral discharge and burning during urination. Diagnosis involves examination for discharge and testing samples of urine or urethral secretions for bacteria and viruses. Treatment involves antibiotics to cure the infection as well as avoiding sexual activity until completion of treatment to prevent spread. Complications can include epididymitis, cystitis, and pelvic inflammatory disease if left untreated.
Abdominal mass
An abdominal mass can have various causes and require different treatments depending on the underlying condition. Examination of the patient and medical tests are needed to identify the location and cause of the mass. Common symptoms include abdominal pain, changes in appetite or bowel habits, weight changes, and the appearance of a mass. Serious symptoms may indicate life-threatening conditions like rapid mass growth or expansion accompanied by severe pain. Treatment options range from observation to surgery and may involve medications, drainage/removal of the mass, removal of part of an organ, or removal of the entire organ along with chemotherapy or radiation.
A Case of Chylous Ascites
- The patient presented with abdominal distension, leg swelling, and shortness of breath. Examination found ascites and signs of liver disease.
- Investigations showed abnormal liver function, renal cysts, para-aortic lymphadenopathy, and chylous ascites. A cervical lymph node biopsy found small cell lymphoma.
- The final diagnosis was small cell lymphoma infiltrating the liver and causing portal hypertension, chylous ascites, and possibly autoimmune hemolytic anemia. The patient deteriorated and died before chemotherapy could be started.
Perinephric abscess imaging
This document discusses perinephric abscesses. It defines the perinephric space as the area surrounding the kidney that contains fat, vessels and lymphatics. A perinephric abscess can result from a ruptured renal abscess, direct spread from pyelonephritis, or other inflammatory processes outside Gerota's fascia. Ultrasound and CT are used to identify fluid or soft tissue in the perinephric space. Percutaneous drainage under imaging guidance and antibiotics is the primary treatment, with surgery reserved for cases that do not respond to drainage and medication.
Hernia
This document provides information about hernia surgery. It describes the different types of hernias including inguinal, incisional, femoral, umbilical, and epigastric hernias. It discusses the common presenting complaints of a hernia such as a lump or pain and precipitating factors. The document outlines the process of examining a patient for a hernia including inspection, palpation, and tests like the cough impulse and Zeimann's technique to determine the type of hernia. It also provides guidance on examining other related areas like abdominal muscles and performing a full systemic examination of the patient.
Acute pancreatitis surgery seminar
Acute pancreatitis is inflammation of the pancreas that is usually reversible. It is commonly caused by gallstones or alcoholism. Symptoms include severe abdominal pain, vomiting, and fever. Diagnosis is based on elevated serum amylase and lipase levels. Severity is assessed using scoring systems like Ranson criteria or CT severity index. Mild cases are treated conservatively with IV fluids and analgesics while severe or infected cases require intensive care monitoring, antibiotics, and possibly surgical debridement of pancreatic necrosis.
Digital rectal examination/Skill lab/ OSCE
DIGITAL RECTAL EXAMINATION- Skill Lab- OSCE
#digitalrectalexamination #surgicaleducator #babysurgeon #skilllab #osce
Subscription Link: http://youtube.com/c/surgicaleducator...
Surgical Educator Android App link: https://play.google.com/store/apps/de...
Dear viewers,
• Greetings from “Surgical Educator”
• Today I am uploading one more video on Skill Lab procedure for your OSCE exam.
• In this episode, I am talking about the DRE- Digital Rectal Examination , the skill which should be mastered by all medical students.
• I hope you can master the skill by watching this video and can do all the steps in the correct sequence.
• You can enjoy all my videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
Rectal prolapse.pptx
The document provides tips for using a PowerPoint presentation on rectal prolapse. It recommends:
1. Freely editing and modifying the slides and adding your name.
2. Noting that half the slides are blank except for the title to facilitate active learning sessions.
3. Showing blank slides, asking students what they know, and then showing the content slide.
4. Rerunning the show at the end to reinforce learning.
5. Using this approach for 3 revisions to optimize learning.
It also provides the presentation format and sample content slides on topics like relevant anatomy, aetiology, clinical features, and management of rectal prolapse.
Splenomegaly
Explanation of what splenomegaly is in relation to its dimension deviation from normal spleen.Classification of splenomegaly according to it's size in adult and pediatric. The causes of splenomegaly along with the symptom that would manifest as a result of this anomaly. Lastly, diagnosis of splenomegaly
Abdominal tuberculosis
1. Abdominal tuberculosis poses a diagnostic challenge due to its non-specific symptoms which can lead to delays in diagnosis and complications. It commonly involves the lymph nodes, peritoneum, and gastrointestinal tract like the ileocecal region.
2. Imaging tests like ultrasound, CT scan, barium studies and laparoscopy are important for diagnosis as they can show features like lymphadenopathy, bowel wall thickening, strictures, and ascites. Histopathological examination of biopsy samples typically shows non-caseating granulomas.
3. Treatment involves a 6-month course of anti-tuberculosis drugs which is effective in resolving lesions. Surgery is only indicated for complications like obstruction or perfor
Obstructive jaundice
This document contains information on various biliary diseases including gallstones, cholangiocarcinoma, pancreatic cancer, and biliary strictures. It discusses the clinical presentation, investigations, and management of biliary obstructions of different types including those caused by stones, tumors, strictures, and cysts. The diagnosis and treatment of choledochal cysts and sclerosing cholangitis are also covered.
What's hot (20)
Recently uploaded
Types of Cancer Treatments | Forms of cancer treatment
Cancer treatment has advanced significantly over the years, offering patients various options tailored to their specific type of cancer and stage of disease. Understanding the different types of cancer treatments can help patients make informed decisions about their care. In this ppt, we have listed most common forms of cancer treatment available today.
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Sectional dentures for microstomia patients.pptx
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
EXAMINATION OF HUMAN URINE AND FAECES.pdf
This presentation will help to develop in-depth knowledge of the examination of Urine and Faeces.
Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
Visit @ https://malayalikeralaspaajman.com/
Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
Malayali Kerala Spa in Ajman, one among the top rated massage centre in ajman, welcomes you to experience high quality massage services from massage staffs from all ove rthe world! Being the best spa massage service providers, we take pride in offering traditional massage services of different countries, like
Indian Massage, Kerala Massage, Thai Massage, Pakistani Massage, Russian Massage etc
If you are seeking relaxation, pain relief, or wellness experience, our ajman spa is here for your unique needs and concerns. The services of our experienced therapists, and personalized attention will ensure that each visit will be memorable for you.
Book your appointment today and let us take you to a world of serenity and self-care. Because you deserves the best.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
Sunscreens, IP-I, Dr. M.N.CHISHTI, Asst Prof. Dept of Pharmaceutics, YBCCPA
Industrial Pharmacy -I, PCI syllabus
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa AjmanMalayali Kerala Spa Ajman
Our Spa Massage Center Ajman prioritizes efficiency to ensure a satisfying massage experience for our clients at Malayali Kerala Spa Ajman. We offer a hassle-free appointment system, effective health issue identification, and precise massage techniques.
Our Spa in Ajman stands out for its effectiveness in enhancing wellness. Our therapists focus on treating the root cause of issues, providing tailored treatments for each client. We take pride in offering the most satisfying Pakistani Spa service, adjusting treatment plans based on client feedback.
For the most result-oriented Russian Spa treatment in Ajman, visit our Massage Center. Our Russian therapists are skilled in various techniques to address health concerns. Our body-to-body massage is efficient due to individualized care and high-grade massage oils.Top 5 Benefits of Cancer Registry Services
Ensure the highest quality care for your patients with Cardiac Registry Support's cancer registry services. We support accreditation efforts and quality improvement initiatives, allowing you to benchmark performance and demonstrate adherence to best practices. Confidence starts with data. Partner with Cardiac Registry Support. For more details visit https://cardiacregistrysupport.com/cancer-registry-services/
Monopoly PCD Pharma Franchise in Tripura
Our company incorporates various drug formulations covering pharma tablets, syrups, capsules, gels, sachets, ointments, creams, injectables.
05 CLINICAL AUDIT-ORTHO done at a peripheral.pptx
Clinical audit on pain management done at peripheral health centre
Know Latest Hiranandani Hospital Powai News.pdf
As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Psychological Safety as a Foundation for Improvement 12-06-24.pdf
Nick Holding and Pete Gordon's slides for an NHS IMAS (Interim Management and Support) webinar 'Psychological safety as a foundation for improvement'
The Importance of Black Women Understanding the Chemicals in Their Personal C...
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
Recently uploaded (20)
Types of Cancer Treatments | Forms of cancer treatment
Types of Cancer Treatments | Forms of cancer treatment
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Bathinda ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Bathinda
Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
Sunscreens, IP-I, Dr. M.N.CHISHTI, Asst Prof. Dept of Pharmaceutics, YBCCPA
Sunscreens, IP-I, Dr. M.N.CHISHTI, Asst Prof. Dept of Pharmaceutics, YBCCPA
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Psychological Safety as a Foundation for Improvement 12-06-24.pdf
Psychological Safety as a Foundation for Improvement 12-06-24.pdf
The Importance of Black Women Understanding the Chemicals in Their Personal C...
The Importance of Black Women Understanding the Chemicals in Their Personal C...
Examination of rectal case
- 1. EXAMINATION OF RECTAL CASE Dr. Diptiranjan Bai
- 11. RECTAL EXAMINATION INSPECTION SENTINEL PILES WITH CHRONIC FISSURE FISTULA IN ANO PILONIDAL SINUS CONDYLOMA ACUMINATA, LATA CARCINOMA – ULCER GOODSALLS RULE: ON STRAINING RECTAL PROLAPSE(SQUATTING) HAEMORRHOIDS 3rd DEGREE POLYPS OR INTUSSESCEPTION MELONOMA OF ANUS
- 12. RECTAL EXAMINATION PALPATION SWELLING OR ULCER ISCHIORECTAL ABSCESS DIFFERENCE BETWEEN PROLAPSE AND INTUSSESCEPTION DIGITAL RECTAL EXAMINATION: PREPARATION OF PATIENT PROCEDURE NOTE: TONE OF SPHINCTER PAIN OR TENDERNESS
- 13. DIGITAL RECTAL EXAMINATION IN THE LUMEN: HARD FAECES INTUSSESCEPTION BALLOONING OF RECTUM IN THE WALL: CIRCULAR GROOVE IS JUNCTION OF INTERNAL AND EXTERNAL SPHINCTER ANORECTAL RING THROMBOSED HAEMORRHOIDS INTERNAL OPENING OF FISTULA IN ANO POLYP STRICTURE-Position and extent,Benign trauma,postop,LGV Carcinoma of rectumand anal canal Circumference,mobility,extend,spread,consistency
- 14. OUTSIDE THE WALL ANTERIORLY: PROSTATE SEMINAL VESICLES BASE OF BLADDER RECTO VESICSAL POUCH RECTO UTERINE POUCH Any infiltration by tumour Deposits in RG or RU pouch LATERALLY: ISCHIORECTAL FOSSA LATERAL WALL OF PELVIS INTERNAL ILIAC ARTERIES LOWER END OF URETERS ISCHIORECTAL ABSCESS,PELVIC APPENDICITIS POSTERIORLY: HOLLOW OF SACRUM AND COCCYX
- 15. BIMANUAL PALPATION PELVIC MASS URINARY BLADDER CARCINOMA LOOK FOR FINGER STALK FOR FAECES,BLOOD,PUS,OR MUCUS PER ABDOMEN EXAMINATION: INDISTINCT LUMP IN ANNULAR CARCINOMA OF RECTUM SUGGESTIVE OF LOADED SIGMOID COLON LIVER FOR SECONDARIES FREE FLUID IN ABDOMEN
- 16. PROCTOSCOPY POSITION OF PATIENT AND METHOD DETAIL INSPECTION OF MUCOUS MEMBRANE INTERNAL PILES- 3,7,11’clock position FISSURE,ULCER AND GROWTH PRIMARY AND SECONDARY HAEMORRHOIDS CHRONIC FISSURE- Midline posterior aspect INTERNAL OPENING OF A FISTULA MINOR PROCEDURES:– INJECTION FOR HAEMORRHOIDS BIOPSY OF GROWTH
- 17. THANK YOU