usmle_dmc
Forum Senior
Topics: 42
Posts: 62
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How do you examine ROM in a back pain pt? If you are suspecting disk prolapse will you examine ROM?When one say rectal examination (say for acute/chronic diarrhoea) what does it mean? Why do one have to examine genitalia in a pt with dark urine?
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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1. Ask the SP to bend fowrd and then laterally.
2. I would test for ROM in back pain case (including disk prolapse).
3. Not sure if this will answer your question: Rectal examination means inspection of the anus, sphincter tone, digital palpation of rectum and prostate exam in male case. You should ask the SP permission to do a rectal exam later.
4. To look for lesions, trauma, ulcers, infections, inflammation, discharge, masses, etc, etc.
Hope ti helps
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Foward sorry
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| usmle_dmc
Forum Senior
Topics: 42
Posts: 62
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Thanks a lot buddy.
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| docvick
Forum Newbie
Topics: 1
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hi,i hav workd in an ortho unit n
they told us not to check rom in suspected disc prolapse
what do u say?they say it can further aggrevate the prolapse
have a good one,bye
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Well according to UW you should do ROM in a back pain case even if disc prolapse it´s your 1st diagnostic impression...
Maybe since you don´t have a definitive diagnosis and some of the differentials would need ROM testing that´s why they suggest you to do it, I think because of the cs format it´s ok to do it, but again this is just my opinion.
Thanks for the input Docvick
Anyone else?...
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