Anal Examination
Anal Examination To give a rectal exam, first lubricate your gloved finger with warm petroleum jelly to keep the anal canal relaxed. Then, with your patient on their side, assess their anus for abnormalities, such as hemorrhoids, warts, rashes, or [HOST]ted Reading Time: 9 mins.
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The next step of the rectal examination involves the assessment of neuromuscular integrity. First, each side of the buttocks is scratched with the gloved finger to elicit the superficial anal reflex (the anal "wink"), a function of L 1 and L 2. Next, using a generous amount of water-soluble gel for lubrication, the gloved index finger is inserted gently into the rectum.
Gently part the buttocks to expose the anal verge and natal cleft. Inspection of the skin and anal margin with good light is important. Lubricate the examining index finger with suitable water-soluble gel and press the finger against the posterior anal .
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