• Prostate Exam

• Digital Rectum Exam

• Rectal Tone Exam

• EXAMINATION OF PROSTATE GLAND (DIGITAL RECTAL EXAMINATION)

Indication

1. Enlarged Prostate → r/o Prostate cancer
2. GIB - GI Bleeding,Anal Fissures,External Hemorrhoid,CRC - Colorectal cancer
3. !Myelopathy
4. !CES - Cauda Equina Syndrome

Summary

• Inspect peri-anal area
• Palpate peri-anal area
• Flex both leg to the abdomen, lateral decubitus
• Add gel
• Finger face anterior of the patient
• Blood, fecal material?
• 1 finger, left to right
• You are feeling the peripheral zone