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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Providing Trauma Informed Care During Anorectal Evaluation.

Christina H Jagielski1, Jessica P Naftaly2, Megan E Riehl2

  • 1Division of Gastroenterology and Hepatology, University of Michigan/Michigan Medicine, 1500 E. Medical Center Drive, 3912 Taubman Center, SPC 5362, Ann Arbor, MI, 48109-5362, USA. cjagiels@med.umich.edu.

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Patients with gastrointestinal (GI) conditions often have trauma histories. Trauma-informed care in gastroenterology, including screening and consent, can prevent re-traumatization and improve patient outcomes.

Keywords:
AbuseAnorectal manometryMedical traumaPsychogastroenterologyPsychological traumaTrauma-informed care

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Area of Science:

  • Gastroenterology
  • Psychology
  • Trauma-Informed Care

Background:

  • High prevalence of psychological trauma among patients with gastrointestinal (GI) conditions.
  • Trauma history impacts physical and mental health, and medical system interactions.
  • Gastroenterology procedures carry a risk of re-traumatization.

Purpose of the Study:

  • To review the impact of prior trauma on patients with GI conditions.
  • To discuss the influence of medical system interactions on patient well-being.
  • To provide trauma-informed strategies for gastroenterology care.

Main Methods:

  • Literature review on trauma and GI conditions.
  • Analysis of patient experiences in gastroenterology settings.
  • Identification of best practices for trauma-informed care.

Main Results:

  • Trauma history elevates the risk of developing GI conditions.
  • Sensitive procedures like anorectal manometry can cause re-traumatization.
  • Key strategies include trauma screening, informed consent, safe environments, privacy, and debriefing.

Conclusions:

  • Trauma-informed care is crucial in gastroenterology due to high trauma rates.
  • Implementing a trauma-informed plan reduces iatrogenic harm.
  • Improved quality of care and patient outcomes are achievable with these strategies.