Rectal vault exam
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Rectal exam reveals small external hemorrhoids, normal sphincter tone, smooth, enlarged prostate without tenderness. Guaiac positive brown stool in vault. EXTREMITIES: No cyanosis or edema; mild clubbing.
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Exam reveals weak & thready peripheral pulses, delayed capillary refill, tachycardia, and a decreased blood pressure on arrival. There is no chest pain, shortness of breath or abdominal tenderness. The rectal reveals bright red blood. CRITICAL ACTIONS. Orders two large bore IV’s to be placed & administers a fluid bolus (PS, PC)
[DOC File]The
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On exam, bowel sounds were present but diminished. Rectal exam revealed normal sphincter tone and soft, claylike stool in the vault. To symptomatically treat her pain, morphine was given parenterally and incrementally titrated to 18 mg/hour (equivalent to approximately morphine 1,300 mg PO per day) with only moderate control of her pain.
[DOC File]CC:
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Rectal: nl rectal tone, minimal stool in rectal vault, no blood, patient c/o diffuse abd pain with exam. Ext: no edema. Skin: no rashes or lesions. Neuro: A+Ox3. Labs (return after primary team leaves): 16.7 140 97 20 . 24.3>-----< 312 -----I-----I-----< 185 Ca 9.4/Mg 2.1/Po4 4.7
[DOC File]General
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Rectal. ampulla . black tarry stool . bright red blood per rectum . guaiac-negative/positive . heme-positive (negative) Hemoccult positive/negative . hemorrhoid - internal/external . hemorrhoidal plexus . maroon-colored . mass . prostate . prostate hard and nodular . prostate firm and 2+ prostate not enlarged . rectal ampulla . rectal ...
[DOC File]Questions: 2 points each
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Standard Physical Exam: 10 points each (heart, lungs, belly, head, brain, extremities) Pelvic Exam: 15 points each (look in vaginal vault) Rectal Exam: 10 points each (check feces for blood) Vital Signs: 15 points for all (blood pressure, temperature, pulse, respiratory rate) EKG: 15 points: checks electrical activity of heart . Urine Dip ...
[DOCX File]Section 7. Clinical Considerations
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Digital Rectal Exam: This examination is performed prior to the insertion of the anoscope or flexible sigmiodoscopy. The purpose of this exam is two-fold. First, this examination is intended to relax the anal sphincter around the opening of the anus in preparation for the subsequent anoscopy/ flexible sigmoidoscopy and specimen collection ...
[DOCX File]Department of Emergency Medicine | University of Washington
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RECTAL EXAM (for cauda equina – insert into adult exam): Symmetric intact sharp/dull differentiation to both sides of perineum. Normal rectal tone. Stool/no stool in rectal vault. PELVIC EXAM. External genitalia unremarkable. Speculum exam with normal appearing whitish vaginal discharge.
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RECTAL EXAM: Reveals a smooth prostate which is symmetric and without nodules. Stool hemoccults are negative times 4. Examination of the uncircumcised male phallus shows an easily retractable foreskin that is of itself unremarkable, as is the shaft and the glans penis.
[DOCX File]University of Kansas Medical Center
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Rectum/ anus: Normal tone, Prostate ( slightly enlarged ), Hemoccult test ( Positive ), Stool ( in rectal vault ). Integumentary : Integumentary exam: Lesion ( Ulcer (Stage III sacral ulcer with 50% necrotic tissue - yellow slough, mild odor) ).
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