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15 Cards in this Set
- Front
- Back
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Hemorrhoid
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Flabby Skin Sac
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Thrombosed Hemorrhoid
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Shiny, blue skin sac
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Fistula
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Small round opening in anal area
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Pilonidal Cyst
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Sacrococcygeal area: Inflammation or tendernaess, swelling, tuft of hair, dimple at tip of coccyx
Hair containing cyst or sinus in midline over coccyx or lower sacrum. Opens as a dimple and possibly erythematous halo. When advanced, it has a palpable sinus tract Congenital disorder diagnosed 15- 30 y/o |
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Rectal Prolapse
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Circular red doughnut of tissue
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Palpation Technique
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Lubricate gloved index finger, tell person palpation isn't painful but may feel like needing to move bowels. Place pad of index finger against anal verge, flex tip of finger and insert it into anal canal in direction towards umbilicus.
NEVER APPROACH AT RIGHT ANGLES WITH INDEX FINGER EXTENDED |
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Prostate gland
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On anterior wall, bulging
2.5cm x 4 cm heart shaped with palpable central groove smooth muscular surface, elastic rubbery, slightly mobile, nontender press into gland at each location because if nodule occurs, it won't project into rectal lumen |
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Tests for Colorectal cancer or Colon Cancer
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Fecal Occult Blood Test
Flexible sigmoidoscopy Colonoscopy Double contrast barium enema common in people over 50. |
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Fissure
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painful longitudinal tear in superficial mucosa at anal margin; frequently accompanied by a papule of hyperplastic skin -> sentinel tag on anal margin below
Often result from trauma Itching, bleeding, exquisite, pain |
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Pruritus Ani
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Intense perianal itching manifested by red, raised, thickened, excoriated skin around anus
Common causes: pinworms in children, fungal infections in adults (area is swollen and poist and appears dull grayish-pink) With psychosomatic itching, skin is dry and brittle |
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Abscess
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cavity of pus from infection in pararectal space. Persistent throbbing rectal pain; occurs laterally between anus and ischial tuberosity and is uncommon
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Carcinoma of Rectum
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Asymptomatic, malignant neoplasm in rectum, early lesion may be single firm nodule. Palpate ulcerated center with rolled edges and as it grows it becomes irregular cauliflower shape and is fixed and stone hard. Half are malignant
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Benign Prostatic Hypertrophy
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Urinary frequency, urgency, hesitancy, straining to urinate, weak stream, intermittent stream, incomplete emptying, noturia.
Symmetric nontender enlargement, prostate surface feels smooth, rubbery. |
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Prostatitis
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Fever, chills, malaise, frequency, urgency, dysuria, urethral discharge, dull, aching pain in perineal and rectal area
Acute inflammation: tender enlargement, swollen, slightly asymmetric gland tender to palpation Chronic: can very from tender enlargment with boggy feel to isolated firm areas. Or gland may feel normal |
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Carcinoma of Prostate gland
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Dysuria, nocturia, continuous lower back pain, hesitancy, hematuria,
Stone hard, irregular fixed nodule on posterior surface, producing asymmetry and chance in consistency. As it progresses, multiple hard nodules appear or entire gland feeld stone hard and fixed, median sulcus is obliterated |
