Card Set Information
Anus rectum prostate
Anus and Rectum
Valves of Houston
: Slows down decent of stool
What is a Fecal Occult Blood Test
Test to see if there is blood in the stool.
Collected from 3 BMs, placed in a little bottle, bottom of which will turn blue if blood is present.
Do not eat raw meat or Vit C supplements.
Anatomy of the prostate gland and simal vesicles
Position in pelvis
Lobes and median sulcus
: In center of prostate.
Objective data about yur bum exam.
Guaiac test container
: little cards for fecal occult blood test. Remind pt to not use sticks in their bums.
Objective Data of the PE
Inspection of the Perianal Area
: should be intact, not inflamed, all the normal stuff.
: Should not be prolapsed. Do not confuse with hemaroids. Will need to be corrected by surgery.
: Have pt bear down a little to open the sphincter. Will be more comfortable for pt.
Anus, Rectum, Prostate
Change in bowel habits
Rectal beeding/blood in stool
: pruritus (pin worms?), hemorrhoids, fissure, fistula (hole from colon to outside skin/vagina. Anywhere next door)
: colon cancer, remember to get age of diagnosis. Will begin screening 10 years before family members were diagnosed.
: diet of high fiber, colonoscopy, most recent exam and results
What is dyschezia?
Localized pain around rectum.
What is Melena
Blood in the stood. Will be black, tarry.
What is steatorrhea
Fat in the stool due to gaul bladder issues, pancreatic disorder, etc.
Stool will float, foamy, grey colored (lack of bile)
Rectal Exam positions
If standing, have pt turn toes in. Will prevent glutes from clenching. Also helps shots not hurt.
If left lateral, have pt extend bottm leg out. Is left because it reduces risk of poking internal vicera.
Objective prostate data
: should be smooth, elastic.
: Normal to make man think he's going to pee.
More objective data
Whatever is left on the examining finger (gloved) always do fecal occult blood test.
As an aging person performs Valsalva maneuver, you may note relaxation of perianal musculature and decreased sphincter control
Otherwise, full examination proceeds as that described for younger adult
Colorectal cancer screening
Currently second leading cancer killer in U.S. However, it should not be; if everyone age 50 or older had regular screening tests, one third of deaths from this cancer could be avoided
Screening identifies precancerous polyps so they can be removed before they become cancer
Screening can also find CRC early, when treatment can be effective
CRC is most often found in people age 50 and older
Older you get the higher your risk; both men and women get CRC
If precancer polyps, have screening every 3 years.
Promoting a healthy colon
CRC screening tests include
Fecal Occult Blood Test (FOBT)
Combination of FOBT and Flexible sigmoidoscopy
Double contrast barium enema
Abnormal findings anus and perianal region
Fistula will often need to be closed with surgery. Will most often lead to GI, but can go to/from any two areas. Also common is vaginal/colon fistula.
Hemorrhoids can be interal or external. Can also be thrombosed. Will need intervension to remove clot.
Abnormal findings, Rectum
Pedunculated vs sessile: Pedunculated has a stock.
Abnormal findings of the prostate
Will need to biopsy to r/o cancer.
: will need antibiotics for 6-12 weeks because it takes a while for the Rx to penetrate the gland.