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Quickly inspect the anus during the strain phase for prolapsing internal hemorrhoids or rectal tissue. First, ask your patient to bear or strain down, as if he was having a bowel movement. Inspect any stool that may be on your gloved hand for color, consistency and blood. Next, with gentle pressure, place your lubricated fingertip on your patient's external anal sphincter, and pause. Thyroid Exam. Male GU Exam Statement of Purpose The genitourinary and rectal exam is an essential part of the overall health assessment in the male.

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Physical Diagnosis & Physical Exam: Tutorials & Videos

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If the patient is not already in a gown, ask them to change into one.

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Video Gallery of the Stanford Medicine 25

When compared with experienced urologists, students tend to palpate fewer areas of the prostate and use insufficient pressure, both of which limit detection of nodules. This patient presents with chest pain. If it seems that the patient feels uncomfortable with the exam, take a moment to explore the reasons why. The posterior surface of the prostate, including its apex, base, median sulcus and lateral lobes, can be palpated through the rectal wall.

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