DIGITAL RECTAL EXAMINATION

1. INTRODUCTION

2. EXPLANATION AND CONSENT

3. POSITIONS

 Knee elbow(best)

 Left lateral position(outdoor position,convenient for patient)

 Pickers position(best for seminal vesicle examination)

4. INSPECTION

 Fissure

 Fistula

 Discharge

 Growth

5. PALPATION

 Sphincter tone

 Growth(its distance from anal verge)

 Impacted fecal matter

 In males:Prostate: size,upper limit reachable, median sulcus palpable,

consistency, nodule , mobility of overlying mucosa, surrounding structures

 Blood staining of finger after removal

6. COVER AND THANKS