FNU NUR 3065 Physical Assessment Week 9
Week 9
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Chapter: 20
Anus,Rectum,Prostate
While you are examining a 1-year-old girl, the
mother mentions how eager she is to begin toilet training her child. How should
you respond? When is it best to begin toilet training?
What do the rectum and anus form?
Control of the external anal sphincter is
gradually achieved at what age?
Differentiate between internal and external
hemorrhoids.
You are observing an examiner take the history
of a 70-year-old man as part of the musculoskeletal examination. You notice
that the examiner asks the patient about exercise habits in his early years. Is
this a relevant question to ask this patient? Why or why not?
A young woman is concerned about a 1-cm
difference in the length of her legs. What is the best response to give this
patient?
A
3-year-old boy has had anal itching that becomes worse at night. What do these
symptoms indicate?
You are assessing a pregnant woman who has had
a fourth-degree perineal laceration. Why is it necessary to assess this
patient’s anal sphincter function?
You are about to perform a rectal examination
of an older adult. What is the suggested position for this patient?
What is a clue to the diagnosis of Hirschsprung
disease?
What do persistent, pencil-like stools suggest?
Distinguish between the stool of a formula-fed
baby and a breastfed baby.
Create a chart or two-column list that compares
the risk factors for colorectal cancer with those for prostatic cancer.
What are the risk factors for colorectal
cancer?
What are the risk factors for prostate cancer?
What symptoms are associated with BPH?
JF is a 42-year-old patient who presents for an
annual examination, but he complains that he has had a fever for the past few
days and recently some “urinary symptoms.”
1- Describe the best method for a rectal examination
during the physical assessment
2- What additional past medical history
questions would you ask of JF since you suspect prostatitis?
3- During the rectal examination of JF with
acute prostatitis, what findings would expect on physical examination? .
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