Assessing the rectal sphincter
You are about to perform a rectal examination of an older adult.
What are the steps to examine this patient?
Explain your rationale.
What are some findings you can have while assessing the rectal sphincter?
Describe the differences during the rectal examination of acute prostatitis and benign prostatic hypertrophy.
What findings would expect on physical examination of acute prostatitis and benign prostatic hypertrophy?
Sample Solution
The digital rectal exam (also referred to as the DRE) is used to evaluate the anus, distal rectum, pelvis, and prostate. More specifically, it is used to inspect for anal tumors, obtain fecal samples for a fecal occult blood test, assess the function of the anal sphincters, evaluate for the cause of rectal bleeding (such as hemorrhoids), and evaluate the prostate gland. To understand how to perform a DRE, a brief review of anorectal anatomy is pertinent. To perform a DRE, put on gloves, and perform these steps: visually inspect the anus; palpate the anal sphincters; palpate the rectal wall, palpate the prostate (in males); and collect a fecal sample if indicated.
rritorial delegation of Castilla y Leon (the region in which Toro de la Vega is celebrated, in the town of Tordesillas) “denied permission to Tordesillas Council to carry out the festivity” . In reality, what was really banned was the killing of the bull, the rest of the festival was still allowed to go ahead. The rule applies for all celebrations of the same type in Castilla y Leon. According to El Mundo, the festival first took place in 1534.
Despite not being nearly good enough for many animal rights activists, a further issue may be that protecting the animal is not the real reason for these new rules. Nevertheless, examples of spectacles being banned because of their cruel nature and violence towards animals could indicate a similar fate for bullfighting one day. Although bullfighting still has not come under the same scrutiny on a political level nationwide, most Spanish people would seem to support a ban of festivals such as Toro de la vega, according to the Ipsos MORI poll in which 75% oppose the fiesta. Putting together the fact that there has been little backlash at the restrictions imposed on the Toro de la vega and that more than half of people surveyed also opposed bullfighting, the restrictions of these traditions and current feeling in Spain towards them could suggest a similar destiny for bullfighting.