anus inspection

Anal visual examination is a visual examination of the skin around the anus, such as thickening, redness, blood, purulent secretions, rash and fistula. The front position allows the patient to stand facing the light, and the upper body bends forward to the side of the bed, bending the hip into a 90-degree posture. The doctor stands on the side of the patient and gently separates the buttocks muscles with both hands to expose the anus. This position is suitable for outpatients or mild patients. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Pay attention to normal diet and rest and prevent endocrine disorders. Normal value There is no mass out of the normal anus. Prolapse, external hemorrhoids and internal hemorrhoids are abnormal phenomena. Clinical significance Abnormal result 1. Skin thickening, redness, bloody, purulent secretions, rash and fistula around the anus. 2. The external hemorrhoids and the internal hemorrhoids (purple red soft mass), and record the parts, (recording method clockwise, tail bone end 12 points. 3. Anal cleft palate (anal mucosal long and narrow laceration). 4. Rectal prolapse, when taking the patient to take the sputum, force the breath to do the defecation action, such as seeing the purple red protrusion outside the anus, that is, partial prolapse of the rectum (recurrent rectal mucosa prolapse) or complete prolapse of the rectum (rectal wall) Full layer prolapse). Need to check the crowd: skin around the anus thickening, redness, blood, purulent secretions, rash and fistula and other anal lesions related symptoms. Precautions Forbidden before examination: pay attention to normal diet, pay attention to normal work and rest, and prevent endocrine disorders. Requirements for inspection: Actively cooperate with the doctor's request. Inspection process The examinee usually adopts the following three postures according to the specific circumstances. 1. The front position allows the patient to stand back toward the light. The upper body bends forward to the side of the bed, bending the hip into a 90-degree position. The doctor stands on the side of the patient and gently separates the buttocks muscles with both hands to expose the anus. This position is suitable for outpatients or mild patients. 2. The patient in the left lateral position is facing back to the light, the lower leg is straight, the upper leg is flexed to the abdomen, and the doctor is standing behind the examination for the critically ill patient. 3. The patient with the knee chest is facing the light, knees on the examination table, bending the upper body, so that the front chest and one side are close to the inspection table, and the doctor stands on the side. This position is suitable for sigmoidoscopy. Not suitable for the crowd Inappropriate crowd: temporarily unknown. Adverse reactions and risks This is a safe check and is not harmful to the body.

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