If you don't put your finger in it, will you put your foot in it?

December 2004
Gut;Dec2004, Vol. 53 Issue 12, p1718
Academic Journal
This article focuses on the study "Significance of Routine Digital Rectal Examination in Adults Presenting With Abdominal Pain," conducted by M. Manimaran and R.B. Galland, published in the "Annals of the Royal College of Surgeons of England." Traditional teaching encourages the use of routine digital rectal examination (DRE) in all patients presenting as an emergency with abdominal pain, although this practice is no longer used in children. This study evaluated the use of DRE in a group of 100 consecutive patients presenting with acute abdominal pain. The authors also highlighted the medico-legal implications of performing unnecessary internal examinations. The study suggests that DRE should be used selectively in those patients and should be confined to those with symptoms related to the large bowel.


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