Chapter 26 Flashcards
External Sphincter
Voluntary control
Anorectal Junction
Can NOT be palpated
Prostate Gland
Produce a thin, milky fluid that supports sperm
Newborn First Stool
Dark green Meconium occurs 24-48 hours after birth. Indicates anal patency
Children have to be myelinated to
Be potty trained the nerves that allow that control develops at 18-24 months
Prostate Enlargement
Hormonal Imbalance
Dyschezia
Painful bowel movements
Black tarry stools (Melena)
GI Bleed
Black Non tarry stools
Iron Meds
Frothy stool
Fat
Clay colored stool
Absent bile pigment (hepatitis)
African American men should be checked for colon cancer
Age 45, everyone else 50.
Colonoscopy every 10 years
Pinworms
Normal in children
Examining a woman’s rectal area
Left Lateral Decubitus
GYN Examining a woman
Lithotomy Position
Shiny blue sac at perianal area
Thrombosed hemorrhoid
Anus Description
Moist, hairless, coarse folded skin, darker than perianal skin, tightly closed anal opening..
Palpating the Rectum
Flex finger and slowly insert it toward the umbilicus. If a mass is noted report further investigation
Newborn anal assessment
Quick contraction of the sphincter when gently stroking the anal area
Inspect perianal area ALWAYS
Sport physicals
Pilonidal Cyst
Tuft of hair directly over the coccyx
PSA should be performed annually for black men
Age 45
Other men Age 50
Prostate cancer is the most frequent cancer in men
Prostatitis Symptoms
Fever, chills, malaise, urinary frequency and urgency
Race with the highest percentage of prostate cancer
Blacks
Normal Prostate Gland
Smooth, elastic and rubbery, moveable, heart shaped with palpable central groove that will not be tender when palpated
Steatorrhea
Greasy stool caused by increase fat content linked to malabsorption syndrome
Fecal impaction
Collection of hard feces in the rectum
Colorectal Cancer
Higher in Alaska Natives and African Americans when compared to others
Jelly like mucus mixed in stool
Indicates inflammation
