export_rectum anus and prostate Flashcards
Melena
Black, tarry stools
High protein, bleeding from a high source in the GI
Stools that are black, but not tarry
Iron
Bismuth salts
Hematochezia
Red blood in stool Lower source (colon, rectum, or anus)
Hemorrhoids, etc.
Reddish, nonbloody stool
Ingestion of red foods
Do you screen for prostate cancer?
No, the USPSTF ranks this screen at a D, which indicates no screening
What does “cancer” mean?
Social term referring to biological agent that will kill a person before their natural time of death
What does “screening” mean?
When you are looking for disease or dysfunction when the person doesn’t have symptoms
If a patient has symptoms, what are you doing when you try to find the problem?
Diagnose, NOT screen
Screening studies
PSA and DRE
Commonly recommended, uncommonly useless
Issues with DRE
Low sensitivity
Good at posterolaterally-positioned masses
Screening recommendation for colorectal cancer
50-75 = grade A 76-85 = grade C
Over 85 = grade D
Bacterial prostatitis findings
Calor Dolor Rubor *The above refer to inflammation* Tumor Labs: Increase WBC, + UA
BPH findings: benign prostate hypertrophy
Enlarged prostate Nontender Hard SYMMETRICAL - bladder outlet obstruction
Prostate cancer findings
Nodules
Nontender
Induration
ASYMMETRICAL
Rectal prolapse
Protruding mass
Reducible initially
Associated with poor bowel habits
