The digital rectal examination (DRE) is a simple yet highly important diagnostic and screening procedure for all doctors to master. It is indicated in many clinical situations; anorectal, prostate, gastrointestinal, genitourethral, acute abdomen, and trauma.
Learn how to perform a DRE block by seamlessly moving between the learning media; text, video, anatomy and simulator. In the simulator, learn how to perform a DRE in learn mode or test yourself in test mode by performing the procedure in a virtual environment. In test mode you may also choose multi-choice questions to test your understanding. Examine your performance in either mode in your personalized logbook and print this record for your own documentation.
Read a concise step-by-step description of how to perform a DRE including a prostate examination in males and rectovaginal examination in women. Read about commonly encountered anal and perianal pathology such as anal fissures, fistulae or sinuses, hemorrhoids, rectal prolapse, perianal abscesses, or anal growths. Steps are based upon evidence-based medicine and have hyperlinks to the relevant abstracts in Pubmed. Watch the procedure performed by an expert, and refresh your anal and colorectal applied anatomy by zooming or rotating a coronal plane of the anorectal region in the anatomy section.
In the simulator, position the patient in the correct position – left lateral position with buttocks at the edge of the bed and hips and knees flexed at 90 degrees, and simulate the steps of the rectal examination by examining the perianal region, inserting your finger per rectally (PR) and examining the rectal mucosa, prostate and anal canal.
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