What examination does rectum atresia need to do?

summary

Rectal atresia belongs to anorectal disease, which is more common in newborns and seriously endangers the normal life of patients. How to check the anorectal disease? Let's take a look at the anorectal disease examination: the following introduces visual inspection, rectal digital examination and instrument examination. Hope to help you.

What examination does rectum atresia need to do?

The patient was in lateral position, and the doctor separated the buttocks of the patient with both hands. First, check whether there are internal hemorrhoids, polyps prolapse, rectal prolapse, external hemorrhoids and fistula from the outside. Then ask the patient to hold his breath like defecation, and the doctor should draw the anal margin with his hand, wait for the anus to open naturally, or use the anal suction device to suck out. The location, number, size, color, bleeding point and anal fissure of internal hemorrhoids were observed.

For digital rectal examination, the patient was placed in a lateral position and took a deep breath to relax the anus. The doctor applied lubricant to the right index finger with gloves or fingertips and gently inserted it into the anus for palpation. Abnormal changes of anal canal and lower end of rectum can be found, such as skin hardening, wave motion, induration, stenosis, sphincter tension. If wave motion is touched, it is more common in perianal abscess; Most of them were rectal polyps; If you feel uneven nodules, hard texture, wide base, adhesion with the underlying tissue, push it, at the same time, there is brown blood adhesion on the fingertip, it should be considered as rectal cancer; If finger insertion causes severe anal pain, it may be anal fissure, so it should not be reluctantly inserted. If there is mucus, pus or blood in the fingertip, it should be sent to the laboratory for cytological examination if necessary. Digital rectal examination is very important in anorectal examination. It can often find the lesions in the lower part of rectum, anal canal and around anus.

The patient should be in the lateral position or lithotomy position. First, put the cover and plug core together, apply lubricant, ask the patient to open his mouth and breathe, and then insert it into the anus slowly. First, extend it to the patient's ventral side. After passing through the anal canal, push it toward the tailbone. After all the anal endoscopes are inserted, remove the plug core. Under the light, carefully observe whether there are ulcers and polyps, Then pull out the anal endoscope near the tooth line to check whether there are internal hemorrhoids, anal leakage, nipple hypertrophy, anal crypt inflammation, etc.

matters needing attention

Other tests can be carried out according to the specific situation of patients. If surgical treatment is needed, routine blood test, clotting time, prothrombin time, routine urine and urine test, and sometimes erythrocyte sedimentation rate test are needed. Liver function and B-mode ultrasound examination can be found in patients with cirrhosis and portal hypertension.