Knowledge

Rectal examination

Source đź“ť

323: 240: 817: 80: 182: 39: 713:
place their elbows on the table and squat down slightly. If the patient uses the supine position, the physician will ask the patient to slide down to the end of the examination table until their buttocks are positioned just beyond the end and then place their feet in the stirrups. The physician spreads the buttocks apart and will usually examine the external area (anus and perineum) for any abnormalities such as
1876:
Grossman, David C.; Curry, Susan J.; Owens, Douglas K.; Bibbins-Domingo, Kirsten; Caughey, Aaron B.; Davidson, Karina W.; Doubeni, Chyke A.; Ebell, Mark; Epling, John W.; Kemper, Alex R.; Krist, Alex H.; Kubik, Martha; Landefeld, C. Seth; Mangione, Carol M.; Silverstein, Michael; Simon, Melissa A.;
542:
traditionally, the digital rectal examination (DRE) was considered an essential part of the physical examination for all trauma patients. However, the sensitivity of the DRE for injuries of the spinal cord, pelvis, and bowel is poor, and false positive and negative results are common. Thus, routine
712:
on the examination table, bent over it, or lying down with feet in stirrups). If the patient is lying on their side, the physician will usually have them bring one or both legs up to their chest. If the patient bends over the examination table or the back of a chair, the physician will have them
685:
2013 (reviewed and validity confirmed 2018) guideline panel states, "The literature supporting the efficacy of digital rectal exam (DRE) for screening with the goal of reducing prostate cancer mortality provide limited evidence to draw conclusions." "The guideline panel could find no evidence to
502:
tarry stools that can not be easily attributed to facial trauma or oral surgery, eating beets or anything with red food dye or overuse of NSAIDS/over the counter pain medication. Doing a rectal exam to examine stool color may provide a clue as to the location of the bleed but is not a reliable
1745:
Collins, Judith F.; Lieberman, David A.; Durbin, Theodore E.; Weiss, David G.; Veterans Affairs Cooperative Study #380 Group (2005). "Accuracy of Screening for Fecal Occult Blood on a Single Stool Sample Obtained by Digital Rectal Examination: A Comparison with Recommended Sampling Practice".
1657:
Ashraf, Imran; Paracha, Shafaq R.; Arif, Murtaza; Choudhary, Abhishek; Matteson, Michelle L.; Clark, Robert E.; Godfrey, Jonathan D.; Hammad, Hazem T.; Bechtold, Matthew L. (2012). "Digital Rectal Examination Versus Spontaneous Passage of Stool for Fecal Occult Blood Testing".
623:
Even though 1 in 4 colorectal cancers (CRC) is located in the rectum, little evidence supports the effectiveness of using the DRE for rectal cancer detection and it is not recommended in the colorectal cancer screening guidelines. The DRE is inadequate as a screening tool for
658:
states, "While FOBT done appropriately (taken home and used according to the instructions) is an important screening option, in-office FOBT may be worse than no screening at all because it misses 95% of cases of advanced tumor, giving many patients a false sense of
686:
support the continued use of DRE as a first-line method of screening." Although DRE has long been used to diagnose prostate cancer, no controlled studies have shown a reduction in the morbidity or mortality of prostate cancer when detected by DRE at any age.
643:
A single office-based FOBT (fecal occult blood test) performed following a digital rectal examination (DRE) is not an adequate screen due to low sensitivity for advanced tumor and colorectal cancer. Screening for colon cancer this way does not meet
1244:
Sharma, Virender K.; Komanduri, Sri; Nayyar, Sanjay; Headly, Anna; Modlinger, Paul; Metz, David C.; Verghese, Vino J.; Wanahita, Anna; Go, Mae F.; Howden, Colin W. (2001). "An audit of the utility of in-patient fecal occult blood testing".
1701:
Nadel, Marion R.; Shapiro, Jean A.; Klabunde, Carrie N.; Seeff, Laura C.; Uhler, Robert; Smith, Robert A.; Ransohoff, David F. (2005). "A National Survey of Primary Care Physicians' Methods for Screening for Fecal Occult Blood".
1438: 486:
might have value for the anemic patient in the emergency room who has no other identifiable cause for anemia, is not actively bleeding, and there is concern that gastrointestinal malignancy may be the cause for their
717:, lumps, or rashes. Then, as the patient relaxes and bears down (as if having a bowel movement), the physician slips a lubricated finger into the rectum through the anus and palpates the insides for a short time. 1462:
Shlamovitz, Gil Z.; Mower, William R.; Bergman, Jonathan; Crisp, Jonathan; DeVore, Heather K.; Hardy, David; Sargent, Martine; Shroff, Sunil D.; Snyder, Eric; Morgan, Marshall T. (July 2007).
695:
concluded: "Given the considerable lack of evidence supporting its efficacy, we recommend against routine performance of DRE to screen for prostate cancer in the primary care setting."
456:. Chronic prostatitis/chronic pelvic pain syndrome, chronic bacterial prostatitis, acute (sudden) bacterial prostatitis, and asymptomatic inflammatory prostatitis. The DRE has a 50% 2109: 677:
May 2018 statement states, "The use of digital rectal examination as a screening modality is not recommended because there is a lack of evidence on the benefits." The
1138: 1089:
Naji, Leen; Randhawa, Harkanwal; Sohani, Zahra; Dennis, Brittany; Lautenbach, Deanna; Kavanagh, Owen; Bawor, Monica; Banfield, Laura; Profetto, Jason (2018).
2633: 1602: 543:
performance is unnecessary and generally unhelpful. The examination is warranted in cases where urethral injury or penetrating rectal injury is suspected;
3534: 2102: 1789: 3305: 2015: 192: 1578: 1198:
Gupta, Arjun; Tang, Zhouwen; Agrawal, Deepak (2018). "Eliminating In-Hospital Fecal Occult Blood Testing: Our Experience with Disinvestment".
652:
standards. The FOBT has never been validated for any purpose other than as a take home colon cancer screening test. A paper published in the
524:
paper concludes: "We found the DRE to have a limited role in the diagnosis of acute, undifferentiated abdominal pain and acute appendicitis.";
3266: 2037:
Rees, Charlotte E.; Monrouxe, Lynn V. (2011). "Medical students learning intimate examinations without valid consent: A multicentre study".
674: 417: 1829:"Fecal Occult Blood Testing Beliefs and Practices of U.S. Primary Care Physicians: Serious Deviations from Evidence-Based Recommendations" 1803: 704:
The digital rectal examination is a relatively simple medical procedure. The patient undresses and is then placed in a position where the
3331: 2909: 2669: 1332: 2095: 1942: 250: 3336: 2626: 327:
Side view of male reproductive and urinary anatomy, including the prostate, rectum and bladder, with an index finger probing the anus
681:
states, "Digital Rectal Exam does not improve detection of prostate cancer and should not be performed as a part of screening." The
3072: 3229: 881: 144: 1010: 785:
as the patient being examined. Similar activities to the rectal exam are attributed to extraterrestrials in video games such as
853: 116: 1509: 1070: 678: 1403:
Kessler, Chad; Bauer, Stephen J. (2012). "Utility of the Digital Rectal Examination in the Emergency Department: A Review".
3570: 2784: 2619: 2555: 654: 1171: 860: 123: 2833: 2573: 2496: 834: 263: 97: 52: 1827:
Nadel, Marion R.; Berkowitz, Zahava; Klabunde, Carrie N.; Smith, Robert A.; Coughlin, Steven S.; White, Mary C. (2010).
3271: 731:
Due to the taboos surrounding the anus and the potential for discomfort and embarrassment, the rectal exam is a common
1918: 673:
In men aged 55–69 who have been counseled on the known harms and potential benefits of prostate cancer screening, the
3529: 3524: 2484: 2395: 900: 300: 282: 221: 163: 66: 961:. It is also a common procedure in cattle, and is one method of diagnosing pregnancy in both the horse and the cow. 867: 130: 2568: 1145: 3062: 2517: 2377: 1091:"Digital Rectal Examination for Prostate Cancer Screening in Primary Care: A Systematic Review and Meta-Analysis" 682: 2769: 2720: 2143: 849: 838: 483: 112: 101: 3575: 3151: 2895: 2743: 520: 2611: 3417: 3136: 2963: 2840: 2660: 799: 449: 3326: 3161: 2705: 972:
that extends to the shoulder. The examiner inserts the hand and arm into the rectum as far as necessary.
615: 457: 3234: 3156: 3024: 2883: 2364: 761: 421: 1049:
The dreaded finger exam to check for prostate cancer used to be a mainstay of check-ups for older men.
803:. The practice of rectal exams without prior consent by medical students has been an area of concern. 3422: 3212: 3126: 3034: 2953: 2725: 2715: 2491: 2479: 2180: 2175: 691: 665: 592:
through the insertion of medical devices including thermometers or specialized balloons; to identify
582:
although internal hemorrhoids are often too soft to be felt, a visual inspection may be more useful;
3516: 3371: 3029: 2710: 2652: 2471: 1172:"FOBT and DRE's in the ED (June 2018) Â» Emergency Medicine | Blog Archive | Boston University" 554: 343: 1970: 1603:"Final Recommendation Statement: Colorectal Cancer: Screening - US Preventive Services Task Force" 3465: 3381: 3006: 2764: 2563: 2346: 1034: 827: 767: 649: 203: 90: 58: 874: 137: 3495: 3310: 2774: 2643: 2600: 2535: 1531:"The diagnostic value of digital rectal examination in primary care for palpable rectal tumour" 991: 491: 3470: 3400: 3256: 2850: 2811: 2407: 2256: 1783: 1759: 1715: 1358:"Diagnosis and treatment of severe hematochezia. The role of urgent colonoscopy after purge" 964:
The procedure in dogs and cats is similar to humans. For the horse, the patient stands in a
258: 199: 3539: 3067: 2451: 2390: 2241: 2223: 2170: 2118: 560:
for examination of the hardness and color of the feces (i.e. in cases of constipation, and
476: 1293:"Fecal occult blood testing in hospitalized patients with upper gastrointestinal bleeding" 1011:"Recommendation: Prostate Cancer: Screening | United States Preventive Services Taskforce" 8: 3442: 3366: 3261: 3166: 3141: 3057: 3052: 2996: 2791: 2587: 2372: 2317: 2185: 2087: 914: 737: 636: 410: 400: 2082: 475:
for the evaluation of certain clinical symptoms: a male with change in urinary ability,
2936: 2779: 2545: 2527: 2354: 2153: 2062: 1853: 1828: 1771: 1727: 1683: 1560: 1270: 1223: 1115: 1090: 981: 949:, or displacement. When horses undergo a rectal examination there is a small risk of a 743: 709: 532: 322: 20: 1479: 1373: 641:
this is an insufficient way of screening for colorectal cancer and is not recommended.
613: 3502: 3386: 3348: 3194: 3104: 2926: 2818: 2759: 2595: 2299: 2148: 2054: 2050: 1900: 1858: 1763: 1719: 1675: 1639: 1552: 1547: 1530: 1491: 1483: 1420: 1385: 1377: 1314: 1262: 1258: 1215: 1120: 1066: 755: 721: 625: 507: 461: 333: 1775: 1731: 1687: 1274: 518:(i.e. acute abdominal symptoms indicating a serious underlying disease). Although a 460:
for benign prostatic hyperplasia. Vigorous examination of the prostate in suspected
3506: 3343: 2749: 2441: 2289: 2274: 2066: 2046: 1890: 1848: 1840: 1755: 1711: 1667: 1542: 1475: 1416: 1412: 1369: 1304: 1254: 1227: 1207: 1110: 1102: 1564: 363: 3580: 3544: 3321: 3317: 3300: 3295: 3082: 2978: 2968: 2943: 2931: 2918: 2870: 2446: 2307: 2138: 2130: 2122: 1671: 1464:"Poor test characteristics for the digital rectal examination in trauma patients" 1211: 946: 663: 601: 561: 557:
when the vaginal vault cannot be accessed or it is too painful (vaginal atrophy);
469: 429: 349: 27: 635:
Although the DRE is commonly used as a way to obtain a stool sample for a FOBT (
3549: 3376: 3239: 3184: 2890: 2860: 2754: 2695: 2678: 2425: 2312: 2284: 2198: 778: 732: 425: 391: 1844: 3564: 3460: 3189: 3119: 2855: 2690: 2641: 2190: 1627: 1487: 1381: 787: 773: 629: 515: 1463: 3437: 3251: 3146: 3131: 2986: 2382: 2324: 2246: 2058: 1904: 1895: 1878: 1862: 1767: 1723: 1679: 1643: 1556: 1495: 1424: 1357: 1318: 1266: 1219: 1124: 965: 958: 942: 586: 511: 495: 1988:
Epstein JI (2002). "Pathology of prostatic neoplasia". In Walsh PC (ed.).
1389: 953:
tear occurring, which can be a life-threatening event, rapidly leading to
19:"Digital exam" redirects here. For digital examination of the vagina, see 3427: 3283: 3246: 3114: 3109: 3094: 2958: 2845: 2828: 2806: 2796: 2700: 2512: 2461: 2266: 1514: 986: 954: 793: 782: 714: 579: 572: 568: 453: 405:'palpation through the anus'), is an internal examination of the 357: 2016:"Alien anal probe saw Saints Row IV refused classification in Australia" 3490: 3432: 3409: 3176: 3044: 2823: 2801: 2415: 2334: 2329: 2279: 2163: 1035:"It may be time to abandon dreaded digital rectal exam, research shows" 969: 934: 930: 705: 551: 536: 528: 468:
emboli and should never be done. Its utility as a screening method for
1309: 1292: 373: 3287: 3090: 3001: 2991: 2948: 2878: 2682: 2251: 2208: 1106: 593: 816: 79: 3358: 3099: 2540: 922: 749: 597: 445: 2735: 2158: 1875: 926: 604:
damage, anal bruising, and foreign objects in the rectal cavity;
3452: 3016: 2203: 950: 547: 490:
a true active gastrointestinal bleed: vomiting blood, vomiting
465: 406: 1919:"Prostate Cancer - Clinical Preventive Service Recommendation" 3221: 2456: 938: 645: 479:, or dysuria (blood in the urine), pain with bowel movements; 1628:"Colorectal cancer screening: Don't just do it, do it right" 628:
because it examines less than 10% of the colorectal mucosa;
2233: 1826: 1744: 1461: 1243: 2117: 1656: 1700: 945:, to determine the presence or absence of bowel torsion, 918: 1139:"Pri-Med | Put That Finger Down! The End of the..." 1088: 941:
it is a vital component of the clinical examination for
26:"Anal probe" redirects here. For the use by aliens, see 1877:
Siu, Albert L.; Tseng, Chien-Wen; Tseng, C. W. (2018).
1529:
Ang, C. W.; Dawson, R.; Hall, C.; Farmer, M. (2008).
1510:"Hemorrhoids - Diagnosis and treatment - Mayo Clinic" 1528: 841:. Unsourced material may be challenged and removed. 539:
diseases, including traumatic spinal cord injuries;
104:. Unsourced material may be challenged and removed. 2005:- Vol. 28, No. 11. "Saturday Night Live at twenty" 424:for older men, as it was thought to be a reliable 1356:Jensen, D. M.; Machicado, G. A. (December 1988). 3562: 1197: 1355: 1239: 1237: 1193: 1191: 1084: 1082: 3267:Transjugular intrahepatic portosystemic shunt 2668: 2627: 2103: 527:for the estimation of the muscle tone of the 267:that contextualizes different points of view. 253:to certain ideas, incidents, or controversies 189:The examples and perspective in this article 2036: 2030: 1869: 1820: 1738: 1694: 1650: 1619: 1522: 1402: 1396: 608: 418:United States Preventive Services Task Force 1964: 1962: 1788:: CS1 maint: numeric names: authors list ( 1234: 1188: 1079: 968:and may be sedated. The examiner puts on a 420:, a digital exam was a common component of 67:Learn how and when to remove these messages 2917: 2634: 2620: 2110: 2096: 1987: 531:sphincter, which may be useful in case of 321: 16:Medical assessment or diagnostic procedure 3408: 1894: 1852: 1546: 1308: 1114: 901:Learn how and when to remove this message 472:however is not supported by the evidence; 301:Learn how and when to remove this message 283:Learn how and when to remove this message 222:Learn how and when to remove this message 164:Learn how and when to remove this message 3073:Transanal hemorrhoidal dearterialization 1959: 1247:The American Journal of Gastroenterology 3230:Artificial extracorporeal liver support 1992:(8th ed.). Philadelphia: Saunders. 1968: 1760:10.7326/0003-4819-142-2-200501180-00006 1716:10.7326/0003-4819-142-2-200501180-00007 3563: 2018:. IGN Entertainment Inc. June 25, 2013 1625: 1290: 1286: 1284: 1060: 806: 726: 2615: 2091: 1607:www.uspreventiveservicestaskforce.org 1015:www.uspreventiveservicestaskforce.org 679:American Academy of Family Physicians 2785:Vertical banded gastroplasty surgery 1833:Journal of General Internal Medicine 1166: 1164: 1162: 1063:Rapid Review Pathology Third Edition 839:adding citations to reliable sources 810: 655:Journal of General Internal Medicine 618:of asymptomatic adults aged 50 to 75 233: 175: 102:adding citations to reliable sources 73: 32: 2834:Percutaneous endoscopic gastrostomy 2642:Tests and procedures involving the 2497:Upper limb neurological examination 1969:Hoffman, Richard M (Jun 25, 2018). 1943:"American Urological Association -" 1804:"Colorectal Cancer Screening Tests" 1281: 13: 3272:Distal splenorenal shunt procedure 708:is accessible (lying on the side, 675:U.S. Preventive Service Task Force 193:include all significant viewpoints 14: 3592: 2076: 1480:10.1016/j.annemergmed.2007.01.022 1405:The Journal of Emergency Medicine 1159: 1131: 689:A meta-analysis published in the 668:of asymptomatic men aged 55 to 69 48:This article has multiple issues. 2051:10.1111/j.1365-2923.2010.03911.x 1548:10.1111/j.1463-1318.2007.01381.x 1259:10.1111/j.1572-0241.2001.03709.x 1200:The American Journal of Medicine 917:rectal examination is useful in 815: 781:as the general practitioner and 416:Prior to a 2018 report from the 238: 180: 78: 37: 3063:Lateral internal sphincterotomy 2518:Ballard Maturational Assessment 2378:Peripheral vascular examination 2008: 1996: 1981: 1971:"Screening for prostate cancer" 1935: 1911: 1879:"Screening for Prostate Cancer" 1796: 1595: 1571: 1502: 1455: 1431: 1349: 1325: 1065:. Mosby Elsevier. p. 429. 826:needs additional citations for 683:American Urological Association 89:needs additional citations for 56:or discuss these issues on the 2770:Endoscopic sleeve gastroplasty 2721:Functional Lumen Imaging Probe 2144:History of the present illness 1417:10.1016/j.jemermed.2012.06.015 1291:Monash, Bradley (2017-07-01). 1054: 1027: 1003: 639:) in an office based setting, 440:This examination may be used: 1: 3152:Lower gastrointestinal series 2896:Upper gastrointestinal series 2485:Mini–mental state examination 2396:Ankle–brachial pressure index 1374:10.1016/s0016-5085(88)80079-9 1095:The Annals of Family Medicine 997: 555:palpations of internal organs 521:Journal of Emergency Medicine 3418:Diagnostic peritoneal lavage 3137:Double-contrast barium enema 2964:Partial ileal bypass surgery 2841:Esophagogastric dissociation 1672:10.1097/SMJ.0b013e31825bfdc5 1468:Annals of Emergency Medicine 1297:Journal of Hospital Medicine 1212:10.1016/j.amjmed.2018.03.002 699: 450:benign prostatic hyperplasia 7: 3571:Diagnostic gastroenterology 3235:Bioartificial liver devices 3162:Transrectal ultrasonography 1748:Annals of Internal Medicine 1704:Annals of Internal Medicine 975: 735:, including in episodes of 616:colorectal cancer screening 10: 3597: 3157:Small-bowel follow-through 3025:Abdominoperineal resection 2884:Esophagogastroduodenoscopy 719: 492:coffee-grind like material 384:Digital rectal examination 25: 18: 3517:Clinical prediction rules 3515: 3483: 3451: 3423:Intraperitoneal injection 3399: 3357: 3282: 3220: 3211: 3175: 3127:Abdominal ultrasonography 3081: 3043: 3035:Total mesorectal excision 3015: 2977: 2954:Intestine transplantation 2908: 2869: 2744:Sengstaken–Blakemore tube 2734: 2726:High resolution manometry 2716:Esophageal motility study 2677: 2659: 2650: 2586: 2554: 2526: 2505: 2492:Cranial nerve examination 2470: 2434: 2406: 2363: 2345: 2298: 2265: 2231: 2222: 2129: 1845:10.1007/s11606-010-1328-7 1632:American Family Physician 692:Annals of Family Medicine 666:prostate cancer screening 609:Usage as a screening tool 370: 356: 342: 332: 320: 315: 3372:Pancreas transplantation 3030:Lower anterior resection 2711:Esophageal pH monitoring 2653:Digestive system surgery 1660:Southern Medical Journal 514:or other examples of an 435: 3466:Inguinal hernia surgery 3382:Pancreaticoduodenectomy 2765:Adjustable gastric band 2706:Impedance–pH monitoring 2564:Athletic heart syndrome 1061:Goljan, Edward (2011). 650:American Cancer Society 637:fecal occult blood test 585:in newborns to exclude 464:can lead to seeding of 396:palpatio per anum (PPA) 386:(DRE), also known as a 3496:Exploratory laparotomy 3311:Hepatoportoenterostomy 2775:Gastric bypass surgery 2644:human digestive system 2601:Differential diagnosis 2536:Well-woman examination 1896:10.1001/jama.2018.3710 1626:Wender, R. C. (2006). 992:GCC homosexuality test 452:and the four types of 395: 3471:Femoral hernia repair 3257:Liver transplantation 2851:Nissen fundoplication 720:Further information: 444:for the diagnosis of 261:by rewriting it in a 3576:Physical examination 3068:Rubber band ligation 3007:Hartmann's operation 2569:Sudden cardiac death 2452:Shoulder examination 2391:Abdominojugular test 2224:Physical examination 2171:Past medical history 925:(as in men), pelvic 921:for analysis of the 850:"Rectal examination" 835:improve this article 113:"Rectal examination" 98:improve this article 3443:Peritoneal dialysis 3262:Portal hypertension 3167:Virtual colonoscopy 3142:Endoanal ultrasound 3058:Anorectal manometry 3053:Anal sphincterotomy 2997:Colonic polypectomy 2792:Collis gastroplasty 2588:Assessment and plan 2373:Cardiac examination 2318:Swinging light test 2186:Psychiatric history 2119:Medical examination 1474:(1): 25–33, 33.e1. 915:veterinary medicine 807:Veterinary medicine 800:Destroy All Humans! 738:Saturday Night Live 727:Society and culture 411:healthcare provider 200:improve the article 2937:Jejunoileal bypass 2780:Sleeve gastrectomy 2546:Breast examination 2421:Rectal examination 2355:Respiratory sounds 2154:Nursing assessment 2083:Rectal Examination 1990:Campbell's Urology 1535:Colorectal Disease 982:Body cavity search 744:Impractical Jokers 550:, for the limited 533:fecal incontinence 316:Rectal examination 21:Pelvic examination 3558: 3557: 3503:Rapid urease test 3479: 3478: 3395: 3394: 3387:Puestow procedure 3349:Cholescintigraphy 3207: 3206: 3203: 3202: 3195:Stool guaiac test 3105:Capsule endoscopy 2927:Bariatric surgery 2904: 2903: 2819:Gastroenterostomy 2760:Bariatric surgery 2609: 2608: 2596:Medical diagnosis 2582: 2581: 2457:Elbow examination 2039:Medical Education 2003:New York Magazine 1889:(18): 1901–1913. 1310:10.12788/jhm.2773 1072:978-0-323-08438-3 911: 910: 903: 885: 626:colorectal cancer 462:acute prostatitis 404: 381: 380: 311: 310: 303: 293: 292: 285: 247:This article may 232: 231: 224: 204:discuss the issue 174: 173: 166: 148: 71: 3588: 3540:Child–Pugh score 3507:Urea breath test 3406: 3405: 3367:Frey's procedure 3344:Cholecystography 3218: 3217: 2915: 2914: 2750:Nasogastric tube 2675: 2674: 2666: 2665: 2636: 2629: 2622: 2613: 2612: 2442:Knee examination 2290:Respiratory rate 2229: 2228: 2112: 2105: 2098: 2089: 2088: 2071: 2070: 2034: 2028: 2027: 2025: 2023: 2012: 2006: 2000: 1994: 1993: 1985: 1979: 1978: 1966: 1957: 1956: 1954: 1953: 1939: 1933: 1932: 1930: 1929: 1915: 1909: 1908: 1898: 1873: 1867: 1866: 1856: 1824: 1818: 1817: 1815: 1814: 1800: 1794: 1793: 1787: 1779: 1742: 1736: 1735: 1698: 1692: 1691: 1654: 1648: 1647: 1623: 1617: 1616: 1614: 1613: 1599: 1593: 1592: 1590: 1589: 1583:www.uptodate.com 1575: 1569: 1568: 1550: 1526: 1520: 1519: 1506: 1500: 1499: 1459: 1453: 1452: 1450: 1449: 1443:www.uptodate.com 1435: 1429: 1428: 1411:(6): 1196–1204. 1400: 1394: 1393: 1368:(6): 1569–1574. 1362:Gastroenterology 1353: 1347: 1346: 1344: 1343: 1337:www.uptodate.com 1329: 1323: 1322: 1312: 1288: 1279: 1278: 1253:(4): 1256–1260. 1241: 1232: 1231: 1195: 1186: 1185: 1183: 1182: 1168: 1157: 1156: 1154: 1153: 1144:. Archived from 1135: 1129: 1128: 1118: 1107:10.1370/afm.2205 1086: 1077: 1076: 1058: 1052: 1051: 1046: 1045: 1031: 1025: 1024: 1022: 1021: 1007: 906: 899: 895: 892: 886: 884: 843: 819: 811: 771:, and the movie 587:imperforate anus 496:defecating blood 399: 374:edit on Wikidata 366: 352: 325: 313: 312: 306: 299: 288: 281: 277: 274: 268: 264:balanced fashion 242: 241: 234: 227: 220: 216: 213: 207: 184: 183: 176: 169: 162: 158: 155: 149: 147: 106: 82: 74: 63: 41: 40: 33: 3596: 3595: 3591: 3590: 3589: 3587: 3586: 3585: 3561: 3560: 3559: 3554: 3545:Ranson criteria 3511: 3475: 3447: 3391: 3353: 3322:Cholangiography 3318:Medical imaging 3301:Cholecystostomy 3296:Cholecystectomy 3278: 3199: 3171: 3083:Medical imaging 3077: 3039: 3011: 2973: 2969:Strictureplasty 2944:Bowel resection 2932:Duodenal switch 2900: 2871:Medical imaging 2865: 2730: 2661:Digestive tract 2655: 2646: 2640: 2610: 2605: 2578: 2550: 2522: 2501: 2466: 2447:Hip examination 2435:Musculoskeletal 2430: 2402: 2359: 2341: 2308:Eye examination 2294: 2261: 2218: 2139:Chief complaint 2131:Medical history 2125: 2116: 2079: 2074: 2035: 2031: 2021: 2019: 2014: 2013: 2009: 2001: 1997: 1986: 1982: 1967: 1960: 1951: 1949: 1941: 1940: 1936: 1927: 1925: 1917: 1916: 1912: 1874: 1870: 1825: 1821: 1812: 1810: 1802: 1801: 1797: 1781: 1780: 1743: 1739: 1699: 1695: 1655: 1651: 1624: 1620: 1611: 1609: 1601: 1600: 1596: 1587: 1585: 1577: 1576: 1572: 1527: 1523: 1508: 1507: 1503: 1460: 1456: 1447: 1445: 1437: 1436: 1432: 1401: 1397: 1354: 1350: 1341: 1339: 1331: 1330: 1326: 1289: 1282: 1242: 1235: 1196: 1189: 1180: 1178: 1176:www.bumc.bu.edu 1170: 1169: 1160: 1151: 1149: 1137: 1136: 1132: 1087: 1080: 1073: 1059: 1055: 1043: 1041: 1033: 1032: 1028: 1019: 1017: 1009: 1008: 1004: 1000: 978: 907: 896: 890: 887: 844: 842: 832: 820: 809: 729: 724: 702: 670: 620: 611: 562:fecal impaction 470:prostate cancer 438: 430:prostate cancer 409:performed by a 377: 362: 348: 328: 307: 296: 295: 294: 289: 278: 272: 269: 259:help improve it 256: 243: 239: 228: 217: 211: 208: 197: 185: 181: 170: 159: 153: 150: 107: 105: 95: 83: 42: 38: 31: 28:Alien abduction 24: 17: 12: 11: 5: 3594: 3584: 3583: 3578: 3573: 3556: 3555: 3553: 3552: 3550:Milan criteria 3547: 3542: 3537: 3532: 3527: 3521: 3519: 3513: 3512: 3510: 3509: 3500: 3499: 3498: 3487: 3485: 3481: 3480: 3477: 3476: 3474: 3473: 3468: 3463: 3457: 3455: 3449: 3448: 3446: 3445: 3440: 3435: 3430: 3425: 3420: 3414: 3412: 3403: 3401:Abdominopelvic 3397: 3396: 3393: 3392: 3390: 3389: 3384: 3379: 3377:Pancreatectomy 3374: 3369: 3363: 3361: 3355: 3354: 3352: 3351: 3346: 3341: 3340: 3339: 3334: 3329: 3314: 3313: 3308: 3303: 3298: 3292: 3290: 3280: 3279: 3277: 3276: 3275: 3274: 3269: 3259: 3254: 3249: 3244: 3243: 3242: 3240:Liver dialysis 3237: 3226: 3224: 3215: 3209: 3208: 3205: 3204: 3201: 3200: 3198: 3197: 3192: 3187: 3185:Fecal fat test 3181: 3179: 3173: 3172: 3170: 3169: 3164: 3159: 3154: 3149: 3144: 3139: 3134: 3129: 3123: 3122: 3117: 3112: 3107: 3102: 3097: 3087: 3085: 3079: 3078: 3076: 3075: 3070: 3065: 3060: 3055: 3049: 3047: 3041: 3040: 3038: 3037: 3032: 3027: 3021: 3019: 3013: 3012: 3010: 3009: 3004: 2999: 2994: 2989: 2983: 2981: 2975: 2974: 2972: 2971: 2966: 2961: 2956: 2951: 2946: 2941: 2940: 2939: 2934: 2923: 2921: 2912: 2910:Lower GI tract 2906: 2905: 2902: 2901: 2899: 2898: 2893: 2891:Barium swallow 2888: 2887: 2886: 2875: 2873: 2867: 2866: 2864: 2863: 2861:Schilling test 2858: 2853: 2848: 2843: 2838: 2837: 2836: 2826: 2821: 2816: 2815: 2814: 2809: 2804: 2794: 2789: 2788: 2787: 2782: 2777: 2772: 2767: 2757: 2755:Gastric lavage 2752: 2747: 2740: 2738: 2732: 2731: 2729: 2728: 2723: 2718: 2713: 2708: 2703: 2698: 2696:Heller myotomy 2693: 2687: 2685: 2672: 2670:Upper GI tract 2663: 2657: 2656: 2651: 2648: 2647: 2639: 2638: 2631: 2624: 2616: 2607: 2606: 2604: 2603: 2598: 2592: 2590: 2584: 2583: 2580: 2579: 2577: 2576: 2571: 2566: 2560: 2558: 2552: 2551: 2549: 2548: 2543: 2538: 2532: 2530: 2524: 2523: 2521: 2520: 2515: 2509: 2507: 2503: 2502: 2500: 2499: 2494: 2489: 2488: 2487: 2476: 2474: 2468: 2467: 2465: 2464: 2459: 2454: 2449: 2444: 2438: 2436: 2432: 2431: 2429: 2428: 2423: 2418: 2412: 2410: 2404: 2403: 2401: 2400: 2399: 2398: 2393: 2385: 2380: 2375: 2369: 2367: 2365:Cardiovascular 2361: 2360: 2358: 2357: 2351: 2349: 2343: 2342: 2340: 2339: 2338: 2337: 2332: 2322: 2321: 2320: 2315: 2313:Ophthalmoscopy 2304: 2302: 2296: 2295: 2293: 2292: 2287: 2285:Blood pressure 2282: 2277: 2271: 2269: 2263: 2262: 2260: 2259: 2254: 2249: 2244: 2238: 2236: 2226: 2220: 2219: 2217: 2216: 2215: 2214: 2211: 2206: 2201: 2193: 2191:Progress notes 2188: 2183: 2181:Social history 2178: 2176:Family history 2173: 2168: 2167: 2166: 2156: 2151: 2149:Systems review 2146: 2141: 2135: 2133: 2127: 2126: 2123:history taking 2115: 2114: 2107: 2100: 2092: 2086: 2085: 2078: 2077:External links 2075: 2073: 2072: 2045:(3): 261–272. 2029: 2007: 1995: 1980: 1958: 1947:www.auanet.org 1934: 1910: 1868: 1839:(8): 833–839. 1819: 1808:www.cancer.org 1795: 1737: 1693: 1666:(7): 357–361. 1649: 1638:(10): 1707–8. 1618: 1594: 1570: 1541:(8): 789–792. 1521: 1501: 1454: 1430: 1395: 1348: 1324: 1303:(7): 567–569. 1280: 1233: 1206:(7): 760–763. 1187: 1158: 1130: 1101:(2): 149–154. 1078: 1071: 1053: 1026: 1001: 999: 996: 995: 994: 989: 984: 977: 974: 909: 908: 823: 821: 814: 808: 805: 779:M. Emmet Walsh 733:comedic device 728: 725: 722:Blumer's shelf 701: 698: 697: 696: 687: 669: 662: 661: 660: 648:, Medicare or 633: 619: 612: 610: 607: 606: 605: 590: 583: 576: 565: 558: 544: 540: 525: 504: 488: 480: 473: 437: 434: 426:screening test 379: 378: 371: 368: 367: 360: 354: 353: 346: 340: 339: 336: 330: 329: 326: 318: 317: 309: 308: 291: 290: 246: 244: 237: 230: 229: 188: 186: 179: 172: 171: 86: 84: 77: 72: 46: 45: 43: 36: 15: 9: 6: 4: 3: 2: 3593: 3582: 3579: 3577: 3574: 3572: 3569: 3568: 3566: 3551: 3548: 3546: 3543: 3541: 3538: 3536: 3533: 3531: 3528: 3526: 3523: 3522: 3520: 3518: 3514: 3508: 3504: 3501: 3497: 3494: 3493: 3492: 3489: 3488: 3486: 3482: 3472: 3469: 3467: 3464: 3462: 3461:Hernia repair 3459: 3458: 3456: 3454: 3450: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3415: 3413: 3411: 3407: 3404: 3402: 3398: 3388: 3385: 3383: 3380: 3378: 3375: 3373: 3370: 3368: 3365: 3364: 3362: 3360: 3356: 3350: 3347: 3345: 3342: 3338: 3335: 3333: 3330: 3328: 3325: 3324: 3323: 3319: 3316: 3315: 3312: 3309: 3307: 3304: 3302: 3299: 3297: 3294: 3293: 3291: 3289: 3285: 3281: 3273: 3270: 3268: 3265: 3264: 3263: 3260: 3258: 3255: 3253: 3250: 3248: 3245: 3241: 3238: 3236: 3233: 3232: 3231: 3228: 3227: 3225: 3223: 3219: 3216: 3214: 3210: 3196: 3193: 3191: 3190:Fecal pH test 3188: 3186: 3183: 3182: 3180: 3178: 3174: 3168: 3165: 3163: 3160: 3158: 3155: 3153: 3150: 3148: 3145: 3143: 3140: 3138: 3135: 3133: 3130: 3128: 3125: 3124: 3121: 3120:Sigmoidoscopy 3118: 3116: 3113: 3111: 3108: 3106: 3103: 3101: 3098: 3096: 3092: 3089: 3088: 3086: 3084: 3080: 3074: 3071: 3069: 3066: 3064: 3061: 3059: 3056: 3054: 3051: 3050: 3048: 3046: 3042: 3036: 3033: 3031: 3028: 3026: 3023: 3022: 3020: 3018: 3014: 3008: 3005: 3003: 3000: 2998: 2995: 2993: 2990: 2988: 2985: 2984: 2982: 2980: 2976: 2970: 2967: 2965: 2962: 2960: 2957: 2955: 2952: 2950: 2947: 2945: 2942: 2938: 2935: 2933: 2930: 2929: 2928: 2925: 2924: 2922: 2920: 2916: 2913: 2911: 2907: 2897: 2894: 2892: 2889: 2885: 2882: 2881: 2880: 2877: 2876: 2874: 2872: 2868: 2862: 2859: 2857: 2856:Pyloromyotomy 2854: 2852: 2849: 2847: 2844: 2842: 2839: 2835: 2832: 2831: 2830: 2827: 2825: 2822: 2820: 2817: 2813: 2810: 2808: 2805: 2803: 2800: 2799: 2798: 2795: 2793: 2790: 2786: 2783: 2781: 2778: 2776: 2773: 2771: 2768: 2766: 2763: 2762: 2761: 2758: 2756: 2753: 2751: 2748: 2745: 2742: 2741: 2739: 2737: 2733: 2727: 2724: 2722: 2719: 2717: 2714: 2712: 2709: 2707: 2704: 2702: 2699: 2697: 2694: 2692: 2691:Esophagectomy 2689: 2688: 2686: 2684: 2680: 2676: 2673: 2671: 2667: 2664: 2662: 2658: 2654: 2649: 2645: 2637: 2632: 2630: 2625: 2623: 2618: 2617: 2614: 2602: 2599: 2597: 2594: 2593: 2591: 2589: 2585: 2575: 2572: 2570: 2567: 2565: 2562: 2561: 2559: 2557: 2553: 2547: 2544: 2542: 2539: 2537: 2534: 2533: 2531: 2529: 2528:Gynecological 2525: 2519: 2516: 2514: 2511: 2510: 2508: 2504: 2498: 2495: 2493: 2490: 2486: 2483: 2482: 2481: 2480:Mental status 2478: 2477: 2475: 2473: 2469: 2463: 2460: 2458: 2455: 2453: 2450: 2448: 2445: 2443: 2440: 2439: 2437: 2433: 2427: 2424: 2422: 2419: 2417: 2414: 2413: 2411: 2409: 2405: 2397: 2394: 2392: 2389: 2388: 2386: 2384: 2381: 2379: 2376: 2374: 2371: 2370: 2368: 2366: 2362: 2356: 2353: 2352: 2350: 2348: 2344: 2336: 2333: 2331: 2328: 2327: 2326: 2323: 2319: 2316: 2314: 2311: 2310: 2309: 2306: 2305: 2303: 2301: 2297: 2291: 2288: 2286: 2283: 2281: 2278: 2276: 2273: 2272: 2270: 2268: 2264: 2258: 2255: 2253: 2250: 2248: 2245: 2243: 2240: 2239: 2237: 2235: 2230: 2227: 2225: 2221: 2212: 2210: 2207: 2205: 2202: 2200: 2197: 2196: 2194: 2192: 2189: 2187: 2184: 2182: 2179: 2177: 2174: 2172: 2169: 2165: 2162: 2161: 2160: 2157: 2155: 2152: 2150: 2147: 2145: 2142: 2140: 2137: 2136: 2134: 2132: 2128: 2124: 2120: 2113: 2108: 2106: 2101: 2099: 2094: 2093: 2090: 2084: 2081: 2080: 2068: 2064: 2060: 2056: 2052: 2048: 2044: 2040: 2033: 2017: 2011: 2004: 1999: 1991: 1984: 1976: 1972: 1965: 1963: 1948: 1944: 1938: 1924: 1920: 1914: 1906: 1902: 1897: 1892: 1888: 1884: 1880: 1872: 1864: 1860: 1855: 1850: 1846: 1842: 1838: 1834: 1830: 1823: 1809: 1805: 1799: 1791: 1785: 1777: 1773: 1769: 1765: 1761: 1757: 1753: 1749: 1741: 1733: 1729: 1725: 1721: 1717: 1713: 1709: 1705: 1697: 1689: 1685: 1681: 1677: 1673: 1669: 1665: 1661: 1653: 1645: 1641: 1637: 1633: 1629: 1622: 1608: 1604: 1598: 1584: 1580: 1574: 1566: 1562: 1558: 1554: 1549: 1544: 1540: 1536: 1532: 1525: 1517: 1516: 1511: 1505: 1497: 1493: 1489: 1485: 1481: 1477: 1473: 1469: 1465: 1458: 1444: 1440: 1434: 1426: 1422: 1418: 1414: 1410: 1406: 1399: 1391: 1387: 1383: 1379: 1375: 1371: 1367: 1363: 1359: 1352: 1338: 1334: 1328: 1320: 1316: 1311: 1306: 1302: 1298: 1294: 1287: 1285: 1276: 1272: 1268: 1264: 1260: 1256: 1252: 1248: 1240: 1238: 1229: 1225: 1221: 1217: 1213: 1209: 1205: 1201: 1194: 1192: 1177: 1173: 1167: 1165: 1163: 1148:on 2022-08-12 1147: 1143: 1140: 1134: 1126: 1122: 1117: 1112: 1108: 1104: 1100: 1096: 1092: 1085: 1083: 1074: 1068: 1064: 1057: 1050: 1040: 1036: 1030: 1016: 1012: 1006: 1002: 993: 990: 988: 985: 983: 980: 979: 973: 971: 967: 962: 960: 956: 952: 948: 944: 940: 936: 932: 928: 924: 920: 916: 905: 902: 894: 891:November 2018 883: 880: 876: 873: 869: 866: 862: 859: 855: 852: â€“  851: 847: 846:Find sources: 840: 836: 830: 829: 824:This article 822: 818: 813: 812: 804: 802: 801: 796: 795: 790: 789: 788:Saints Row IV 784: 780: 776: 775: 770: 769: 764: 763: 758: 757: 752: 751: 746: 745: 740: 739: 734: 723: 718: 716: 711: 707: 694: 693: 688: 684: 680: 676: 672: 671: 667: 659:reassurance." 657: 656: 651: 647: 642: 638: 634: 632:is preferred. 631: 630:sigmoidoscopy 627: 622: 621: 617: 603: 599: 595: 591: 588: 584: 581: 577: 574: 570: 566: 563: 559: 556: 553: 552:gynecological 549: 545: 541: 538: 534: 530: 526: 523: 522: 517: 516:acute abdomen 513: 509: 505: 501: 497: 493: 489: 485: 482:a DRE with a 481: 478: 474: 471: 467: 463: 459: 455: 451: 447: 443: 442: 441: 433: 431: 427: 423: 419: 414: 412: 408: 402: 397: 393: 389: 388:prostate exam 385: 375: 369: 365: 361: 359: 355: 351: 347: 345: 341: 337: 335: 331: 324: 319: 314: 305: 302: 287: 284: 276: 273:February 2018 266: 265: 260: 254: 252: 245: 236: 235: 226: 223: 215: 212:February 2018 205: 201: 195: 194: 187: 178: 177: 168: 165: 157: 154:February 2018 146: 143: 139: 136: 132: 129: 125: 122: 118: 115: â€“  114: 110: 109:Find sources: 103: 99: 93: 92: 87:This article 85: 81: 76: 75: 70: 68: 61: 60: 55: 54: 49: 44: 35: 34: 29: 22: 3438:Paracentesis 3252:Liver biopsy 3147:Enteroclysis 3132:Defecography 2987:Appendectomy 2472:Neurological 2426:Bowel sounds 2420: 2383:Heart sounds 2247:Auscultation 2042: 2038: 2032: 2020:. Retrieved 2010: 2002: 1998: 1989: 1983: 1974: 1950:. Retrieved 1946: 1937: 1926:. Retrieved 1923:www.aafp.org 1922: 1913: 1886: 1882: 1871: 1836: 1832: 1822: 1811:. Retrieved 1807: 1798: 1784:cite journal 1751: 1747: 1740: 1710:(2): 86–94. 1707: 1703: 1696: 1663: 1659: 1652: 1635: 1631: 1621: 1610:. Retrieved 1606: 1597: 1586:. Retrieved 1582: 1573: 1538: 1534: 1524: 1513: 1504: 1471: 1467: 1457: 1446:. Retrieved 1442: 1433: 1408: 1404: 1398: 1365: 1361: 1351: 1340:. Retrieved 1336: 1327: 1300: 1296: 1250: 1246: 1203: 1199: 1179:. Retrieved 1175: 1150:. Retrieved 1146:the original 1141: 1133: 1098: 1094: 1062: 1056: 1048: 1042:. Retrieved 1039:ScienceDaily 1038: 1029: 1018:. Retrieved 1014: 1005: 963: 959:septic shock 929:, sublumbar 912: 897: 888: 878: 871: 864: 857: 845: 833:Please help 828:verification 825: 798: 792: 786: 772: 766: 760: 754: 748: 742: 736: 730: 703: 690: 653: 640: 578:to evaluate 519: 512:appendicitis 499: 439: 422:annual exams 415: 387: 383: 382: 297: 279: 270: 262: 251:undue weight 248: 218: 209: 190: 160: 151: 141: 134: 127: 120: 108: 96:Please help 91:verification 88: 64: 57: 51: 50:Please help 47: 3428:Laparoscopy 3284:Gallbladder 3247:Hepatectomy 3177:Stool tests 3115:Proctoscopy 3110:Enteroscopy 3095:Colonoscopy 2979:Large bowel 2959:Jejunostomy 2919:Small bowel 2846:Hill repair 2829:Gastrostomy 2807:Billroth II 2797:Gastrectomy 2701:Sialography 2513:Apgar score 2462:GALS screen 2347:Respiratory 2275:Temperature 2267:Vital signs 2164:Medications 1754:(2): 81–5. 1515:Mayo Clinic 987:Colonoscopy 955:peritonitis 935:anal glands 931:lymph nodes 794:Gaia Online 783:Chevy Chase 768:Letterkenny 715:hemorrhoids 580:hemorrhoids 573:proctoscopy 569:colonoscopy 567:prior to a 458:specificity 454:prostatitis 448:disorders, 358:MedlinePlus 3565:Categories 3491:Laparotomy 3433:Omentopexy 3410:Peritoneum 3045:Anal canal 2824:Gastropexy 2802:Billroth I 2416:Liver span 2280:Heart rate 2257:Percussion 2242:Inspection 2195:Mnemonics 1952:2019-02-20 1928:2019-02-18 1813:2019-10-12 1612:2019-02-07 1588:2019-02-18 1579:"UpToDate" 1448:2019-10-22 1439:"UpToDate" 1342:2019-11-13 1333:"UpToDate" 1181:2019-02-20 1152:2022-01-09 1044:2022-11-19 1020:2022-11-19 998:References 970:long glove 861:newspapers 762:South Park 756:Family Guy 596:problems, 537:neurologic 503:indicator; 124:newspapers 53:improve it 3288:bile duct 3213:Accessory 3091:Endoscopy 3002:Colostomy 2992:Colectomy 2949:Ileostomy 2879:Endoscopy 2812:Roux-en-Y 2683:Esophagus 2408:Abdominal 2252:Palpation 2159:Allergies 1488:1097-6760 1382:0016-5085 947:impaction 710:squatting 700:Procedure 598:parasites 594:digestion 508:diagnosis 477:impotence 446:prostatic 59:talk page 3359:Pancreas 3100:Anoscopy 2541:Pap test 2506:Neonatal 2232:General/ 2213:COASTMAP 2059:21251051 2022:July 19, 1975:UpToDate 1905:29801017 1863:20383599 1776:29833684 1768:15657155 1732:24639260 1724:15657156 1688:22573405 1680:22766663 1644:16734049 1557:17868406 1496:17391807 1425:22883714 1319:28699947 1275:20602869 1267:11316179 1220:29601803 1125:29531107 976:See also 923:prostate 750:Futurama 506:for the 334:ICD-9-CM 191:may not 2736:Stomach 2325:Hearing 2067:3372919 1854:2896587 1390:3263294 1228:5046971 1142:Pri-Med 1116:5847354 927:urethra 875:scholar 777:, with 548:females 487:anemia; 403:  350:D051517 257:Please 198:Please 138:scholar 3581:Rectum 3453:Hernia 3017:Rectum 2556:Sports 2387:Other 2204:OPQRST 2199:SAMPLE 2065:  2057:  1903:  1861:  1851:  1774:  1766:  1730:  1722:  1686:  1678:  1642:  1565:639158 1563:  1555:  1494:  1486:  1423:  1388:  1380:  1317:  1273:  1265:  1226:  1218:  1123:  1113:  1069:  951:rectal 939:horses 933:, and 877:  870:  863:  856:  848:  774:Fletch 466:septic 407:rectum 364:007069 140:  133:  126:  119:  111:  3535:UKELD 3484:Other 3222:Liver 2574:RED-S 2335:Rinne 2330:Weber 2300:HEENT 2063:S2CID 1772:S2CID 1728:S2CID 1684:S2CID 1561:S2CID 1271:S2CID 1224:S2CID 966:stock 943:colic 937:. In 882:JSTOR 868:books 646:HEDIS 602:organ 500:black 436:Usage 392:Latin 372:[ 338:89.34 249:lend 145:JSTOR 131:books 3530:PELD 3525:MELD 3332:MRCP 3306:ERCP 2234:IPPA 2209:SOAP 2121:and 2055:PMID 2024:2014 1901:PMID 1883:JAMA 1859:PMID 1790:link 1764:PMID 1720:PMID 1676:PMID 1640:PMID 1553:PMID 1492:PMID 1484:ISSN 1421:PMID 1386:PMID 1378:ISSN 1315:PMID 1263:PMID 1216:PMID 1121:PMID 1067:ISBN 957:and 919:dogs 854:news 797:and 706:anus 529:anal 484:FOBT 428:for 401:lit. 344:MeSH 117:news 3337:PTC 2679:SGs 2047:doi 1891:doi 1887:319 1849:PMC 1841:doi 1756:doi 1752:142 1712:doi 1708:142 1668:doi 1664:105 1543:doi 1476:doi 1413:doi 1370:doi 1305:doi 1255:doi 1208:doi 1204:131 1111:PMC 1103:doi 913:In 837:by 664:In 614:In 571:or 546:in 535:or 510:of 498:or 202:or 100:by 3567:: 3505:/ 3327:IV 3320:: 3286:, 3093:: 2681:/ 2061:. 2053:. 2043:45 2041:. 1973:. 1961:^ 1945:. 1921:. 1899:. 1885:. 1881:. 1857:. 1847:. 1837:25 1835:. 1831:. 1806:. 1786:}} 1782:{{ 1770:. 1762:. 1750:. 1726:. 1718:. 1706:. 1682:. 1674:. 1662:. 1636:73 1634:. 1630:. 1605:. 1581:. 1559:. 1551:. 1539:10 1537:. 1533:. 1512:. 1490:. 1482:. 1472:50 1470:. 1466:. 1441:. 1419:. 1409:43 1407:. 1384:. 1376:. 1366:95 1364:. 1360:. 1335:. 1313:. 1301:12 1299:. 1295:. 1283:^ 1269:. 1261:. 1251:96 1249:. 1236:^ 1222:. 1214:. 1202:. 1190:^ 1174:. 1161:^ 1119:. 1109:. 1099:16 1097:. 1093:. 1081:^ 1047:. 1037:. 1013:. 791:, 765:, 759:, 753:, 747:, 741:, 600:, 564:); 494:, 432:. 413:. 398:, 394:: 62:. 2746:) 2635:e 2628:t 2621:v 2111:e 2104:t 2097:v 2069:. 2049:: 2026:. 1977:. 1955:. 1931:. 1907:. 1893:: 1865:. 1843:: 1816:. 1792:) 1778:. 1758:: 1734:. 1714:: 1690:. 1670:: 1646:. 1615:. 1591:. 1567:. 1545:: 1518:. 1498:. 1478:: 1451:. 1427:. 1415:: 1392:. 1372:: 1345:. 1321:. 1307:: 1277:. 1257:: 1230:. 1210:: 1184:. 1155:. 1127:. 1105:: 1075:. 1023:. 904:) 898:( 893:) 889:( 879:· 872:· 865:· 858:· 831:. 589:; 575:; 390:( 376:] 304:) 298:( 286:) 280:( 275:) 271:( 255:. 225:) 219:( 214:) 210:( 206:. 196:. 167:) 161:( 156:) 152:( 142:· 135:· 128:· 121:· 94:. 69:) 65:( 30:. 23:.

Index

Pelvic examination
Alien abduction
improve it
talk page
Learn how and when to remove these messages

verification
improve this article
adding citations to reliable sources
"Rectal examination"
news
newspapers
books
scholar
JSTOR
Learn how and when to remove this message
include all significant viewpoints
improve the article
discuss the issue
Learn how and when to remove this message
undue weight
help improve it
balanced fashion
Learn how and when to remove this message
Learn how and when to remove this message

ICD-9-CM
MeSH
D051517
MedlinePlus

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑