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2023 | OriginalPaper | Hoofdstuk

23. The anus and the rectum

Auteurs : L. L. F. G. Valke, R. J. M. Claessen, M. J. T. Gerhardus, Dr K. Duitscher-Fransen, Prof. E. P. Moll van Charante

Gepubliceerd in: Physical Diagnostics

Uitgeverij: Bohn Stafleu van Loghum

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Abstract

Examination of the anus and rectum can be embarrassing for both patients and physicians. If it is carried out professionally, giving clear instructions to the patient, it can provide important information on disorders that manifest themselves in this region. It is important to have the patient adopt the correct position before starting the examination: this could be supine, lateral or knee-elbow position or standing. Begin by inspecting the anus and perianal region, followed by anal palpation and then rectal examination. The technique required to carry out this examination correctly is described in this chapter, followed by a description of the clinical significance of any abnormalities and the scientific value of anal and rectal examination.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Van Driel MF, Van Andel MV, Ten Cate Hoedemaker HO, et al. Fysische diagnostiek. Rectaal toucher. [Physical diagnostics. Rectal examination] Ned Tijdschr Geneeskd. 2002;146:508–12. Van Driel MF, Van Andel MV, Ten Cate Hoedemaker HO, et al. Fysische diagnostiek. Rectaal toucher. [Physical diagnostics. Rectal examination] Ned Tijdschr Geneeskd. 2002;146:508–12.
2.
go back to reference Talley NJ, O’Connor S. Clinical examination, a systematic guide to physical diagnosis. 7th impression. Illinois: Churchill Livingstone Elsevier; 2013. Talley NJ, O’Connor S. Clinical examination, a systematic guide to physical diagnosis. 7th impression. Illinois: Churchill Livingstone Elsevier; 2013.
3.
go back to reference Ang CW, Dawson R, Hall C, Farmer M. The diagnostic value of digital rectal examination in primary care for palpable rectal tumour. Colorectal Dis. 2008;10:789–92.CrossRefPubMed Ang CW, Dawson R, Hall C, Farmer M. The diagnostic value of digital rectal examination in primary care for palpable rectal tumour. Colorectal Dis. 2008;10:789–92.CrossRefPubMed
4.
go back to reference Weiss W, Hanak H, Huber A. Effizienz der rektaldigitalen Untersuchung zur Früherkennung des Dickdarmkarzinoms [Efficiency of rectal digital examination for the early detection of colon carcinoma]. Wien Klin Wochenschr. 1977;89:654–60.PubMed Weiss W, Hanak H, Huber A. Effizienz der rektaldigitalen Untersuchung zur Früherkennung des Dickdarmkarzinoms [Efficiency of rectal digital examination for the early detection of colon carcinoma]. Wien Klin Wochenschr. 1977;89:654–60.PubMed
5.
6.
go back to reference Tanaka A, Sadahiro S, Suzuki T, et al. Comparisons of rigid proctoscopy, flexible colonoscopy, and digital rectal examination for determining the localization of rectal cancers. Dis Colon Rectum. 2018;61:202–6.CrossRefPubMed Tanaka A, Sadahiro S, Suzuki T, et al. Comparisons of rigid proctoscopy, flexible colonoscopy, and digital rectal examination for determining the localization of rectal cancers. Dis Colon Rectum. 2018;61:202–6.CrossRefPubMed
7.
go back to reference Thumbe V, Iqbal M, Bhalerao S. Accuracy of digital rectal examination in the estimation of height of rectal lesions. Tech Coloproctol. 2007;11:111–3.CrossRefPubMed Thumbe V, Iqbal M, Bhalerao S. Accuracy of digital rectal examination in the estimation of height of rectal lesions. Tech Coloproctol. 2007;11:111–3.CrossRefPubMed
8.
go back to reference Moore KL. Clinically oriented anatomy. 8th impression Philadelphia, PA: Lippincott Williams & Wilkins; 2017. Moore KL. Clinically oriented anatomy. 8th impression Philadelphia, PA: Lippincott Williams & Wilkins; 2017.
9.
go back to reference Saranovic D, Barisic G, Krivokapic Z, et al. Endoanal ultrasound evaluation of anorectal diseases and disorders: technique, indications, results and limitations. Eur J Radiol. 2007;61:480–9.CrossRefPubMed Saranovic D, Barisic G, Krivokapic Z, et al. Endoanal ultrasound evaluation of anorectal diseases and disorders: technique, indications, results and limitations. Eur J Radiol. 2007;61:480–9.CrossRefPubMed
10.
go back to reference Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15:557–64.CrossRefPubMed Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15:557–64.CrossRefPubMed
11.
go back to reference Takada T, Nishiwaki H, Yamamoto Y, et al. The role of digital rectal examination for diagnosis of acute appendicitis: a systematic review and meta-analysis. PLoS ONE. 2015;10: e0136996.CrossRefPubMedPubMedCentral Takada T, Nishiwaki H, Yamamoto Y, et al. The role of digital rectal examination for diagnosis of acute appendicitis: a systematic review and meta-analysis. PLoS ONE. 2015;10: e0136996.CrossRefPubMedPubMedCentral
12.
go back to reference Dixon JM, Elton RA, Rainey JB, Macleod DA. Rectal examination in patients with pain in the right lower quadrant of the abdomen. BMJ. 1991;302(6773):386–8.CrossRefPubMedPubMedCentral Dixon JM, Elton RA, Rainey JB, Macleod DA. Rectal examination in patients with pain in the right lower quadrant of the abdomen. BMJ. 1991;302(6773):386–8.CrossRefPubMedPubMedCentral
13.
go back to reference Kessler C, Bauer SJ. Utility of the digital rectal examination in the emergency department: a review. J Emerg Med. 2012;43:1196–204.CrossRefPubMed Kessler C, Bauer SJ. Utility of the digital rectal examination in the emergency department: a review. J Emerg Med. 2012;43:1196–204.CrossRefPubMed
Metagegevens
Titel
The anus and the rectum
Auteurs
L. L. F. G. Valke
R. J. M. Claessen
M. J. T. Gerhardus
Dr K. Duitscher-Fransen
Prof. E. P. Moll van Charante
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2931-1_23