Professional Reference articles are designed for health professionals to use. You may find one of our health articles more useful. Rectal examination is an important part of the abdominal examination and genitourinary examination. It is important in examining for gastrointestinal disease but also for the detection of disease in other pelvic organs. It is an intimate physical examination which should be conducted correctly for detection of disease and patient comfort. Findings should be accurately and correctly recorded.
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The findings are described by convention according to the clock face in the lithotomy position. This is a distressing examination for children and should be avoided.
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There are few absolute indications. When deemed essential, it may be appropriate to use the fifth rather than index finger.
Rectal examination is often required in elderly patients because symptoms and disease arise more often in elderly patients. The left lateral position may be uncomfortable for elderly patients. Time should be taken to achieve a comfortable position which allows adequate examination.
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Deafness may hamper explanations, but time should be taken to ensure that the procedure and the reasons for it are understood. Surg Radiol Anat.
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Nurs Stand. Hi Im a 24 year old female with an embarassing problem and trying to build the courage to speak to my gp after lockdown. I have a small lump about 1cm away from my anus.