The digital rectal examination in pediatric trauma: A pilot study

Kristinsson, George; Wall, Stephen P.; Crain, Ellen F.

doi:10.1016/j.jemermed.2006.10.002

Cited by 15 publications

(5 citation statements)

References 7 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The survey question may have been poorly written or presented in a manner diffi cult for the patient to understand. 18 The examination is also devalued in the examination of the incarcerated because of a higher probability of "bodypacking" with sharpened objects or weapons in the rectum, which could injure the examiner. Another postulate is that these answers mirror the phenomenon observed in patients' attitudes of shame and reluctance to disclose rectal examinations in the area of colorectal and prostate cancer screening.…”

Section: Discussionmentioning

confidence: 99%

Trauma Resuscitations and Patient Perceptions of Care and Comfort

Wright

2011

Journal of Trauma Nursing

View full text Add to dashboard Cite

Patients subjected to common trauma resuscitation practices can have varied emotional responses to certain aspects of their initial evaluation and care. Thirty-four patients admitted to the hospital after blunt traumatic injury were randomly selected to complete a self-reported questionnaire regarding their comfort levels with certain aspects of their initial trauma care and resuscitation. Most patients reported higher levels of comfort with procedures generally expected by the lay public and lower levels of comfort with those procedures less well known or for which they were not prepared. Analysis of survey data showed a larger percentage of discomfort with the digital rectal examination than with other aspects of trauma care. Notably, data analysis also showed a significant percentage of patients who were reluctant to disclose receiving a digital rectal examination. Additional investigation into the validity and reproducibility of these trends is warranted; however, there is legitimate evidence that there is room to improve a patient's perception of comfort during a trauma resuscitation and initial workup through improved communication and procedure disclosure.

show abstract

Section: Discussionmentioning

confidence: 99%

Trauma Resuscitations and Patient Perceptions of Care and Comfort

Wright

2011

Journal of Trauma Nursing

View full text Add to dashboard Cite

show abstract

“…DRE evaluation has also been carried out in the paediatric population where Kristinsson et al. [9] found that sensitivity and specificity of physical examination, with or without DRE as part of it, do not differ significantly. A systematic review by Hankin et al.…”

Section: Discussionmentioning

confidence: 99%

Digital rectal examination for initial assessment of the multi-injured patient: Can we depend on it?

Ahl

Riddez

Mohseni

2016

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

BackgroundDigital rectal examination (DRE) is part of the assessment of trauma patients as recommended by ATLS®. The theory behind is to aid early diagnosis of potential lower intestinal, urethral and spinal cord injuries. Previous studies suggest that test characteristics of DRE are far from reliable. This study examines the correlation between DRE findings and diagnosis and whether DRE findings affect subsequent management.Materials and methodsPatients with ICD-10 codes for spinal cord, urethral and lower intestinal injuries were identified from the trauma registry at an urban university hospital between 2007 and 2011. A retrospective review of electronic medical records was carried out to analyse DRE findings and subsequent management.Results253 patients met the inclusion criteria with a mean age of 44 ± 20 years and mean ISS of 26 ± 16. 160 patients had detailed DRE documentation with abnormal findings in 48%. Sensitivity rate was 0.47. Correlational analysis between examination findings and diagnosis gave a kappa of 0.12. Subsequent management was not altered in any case due to DRE findings.ConclusionDRE in trauma settings has low sensitivity and does not change subsequent management. Excluding or postponing this examination should therefore be considered.

show abstract

“…The pattern of symptom start, progression, location, intensity, characters, abdomi-nalpain triggering and relieving events, and related symptoms are all important aspects of the history.The age of the patient is an important factor in determining the severity of acute abdominal discomfort. Recent abdominal trauma, past abdominal surgery, and a full system review are all crucial historical variables [30,31,32].…”

Section: History Takingmentioning

confidence: 99%

Causes and Management of Acute Abdominal Pain in Children: A Review Article

Alanazi

2021

JPRI

View full text Add to dashboard Cite

Acute abdominal pain is one of the commonest prevalent grievances in children, and it frequently requires emergency room diagnosis and management. Abdominal pain in children differs with age, concomitant symptoms, and pain site. While most cases of acute abdominal embarrassment are self-limiting and benevolent, there are certain diseases that can be life-threatening and necessitate instant care, such as appendicitis, intussusception, or intestinal obstruction. To decide the cause of acute abdominal pain and recognize children with surgical conditions, scrupulous history taking and numerous physical checkups are mandatory.The most important and realistic first goal in the evaluation of acute AP is to distinguish between surgical and nonsurgical situations, which are further divided into urgent and non-urgent categories. A thorough history and physical examination, laboratory investigations to evaluate comorbidity, and imaging scans are usually used for these purposes. Management decisions should necessitate teamwork between the emergency room physician, a surgeon, and a radiologist. Consecutivereassessment and symptomatic treatment with hardworking follow-up are necessary for management as soon aspossible in urgent disorder.

show abstract

The digital rectal examination in pediatric trauma: A pilot study

Cited by 15 publications

References 7 publications

Trauma Resuscitations and Patient Perceptions of Care and Comfort

Trauma Resuscitations and Patient Perceptions of Care and Comfort

Digital rectal examination for initial assessment of the multi-injured patient: Can we depend on it?

Causes and Management of Acute Abdominal Pain in Children: A Review Article

Contact Info

Product

Resources

About