The Diagnostic Value of Rectal Examination
The rectal examination is a much advocated procedure for assessing abdominal and urinary symptoms. A Medline literature search yielded only a few studies, not one of them in a general practice setting. The sensitivity of the rectal examination to rectal carcinoma and appendicitis is low, while it is...
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Veröffentlicht in: | Family practice 1993-03, Vol.10 (1), p.34-37 |
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creator | MURIS, JWM STARMANS, R WOLFS, GGMC POP, P KNOTTNERUS, JA |
description | The rectal examination is a much advocated procedure for assessing abdominal and urinary symptoms. A Medline literature search yielded only a few studies, not one of them in a general practice setting. The sensitivity of the rectal examination to rectal carcinoma and appendicitis is low, while it is high for prostate carcinoma. When reviewing the likelihood ratios of normal and abnormal findings of rectal examinations it was concluded that it may be a useful procedure in the case of abnormal findings in patients presenting rectal problems and in assessing men with prostate problems, although it does not seem useful in diagnosing appendicitis. However, since the diagnostic values in general practice and in referred populations may be difterent, there is a need for further prospective studies in settings of general medical practice. |
doi_str_mv | 10.1093/fampra/10.1.34 |
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A Medline literature search yielded only a few studies, not one of them in a general practice setting. The sensitivity of the rectal examination to rectal carcinoma and appendicitis is low, while it is high for prostate carcinoma. When reviewing the likelihood ratios of normal and abnormal findings of rectal examinations it was concluded that it may be a useful procedure in the case of abnormal findings in patients presenting rectal problems and in assessing men with prostate problems, although it does not seem useful in diagnosing appendicitis. 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A Medline literature search yielded only a few studies, not one of them in a general practice setting. The sensitivity of the rectal examination to rectal carcinoma and appendicitis is low, while it is high for prostate carcinoma. When reviewing the likelihood ratios of normal and abnormal findings of rectal examinations it was concluded that it may be a useful procedure in the case of abnormal findings in patients presenting rectal problems and in assessing men with prostate problems, although it does not seem useful in diagnosing appendicitis. However, since the diagnostic values in general practice and in referred populations may be difterent, there is a need for further prospective studies in settings of general medical practice.</description><subject>Appendicitis - diagnosis</subject><subject>Family Practice</subject><subject>Humans</subject><subject>Male</subject><subject>Physical Examination</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Rectal Neoplasms - diagnosis</subject><subject>Rectum</subject><subject>Sensitivity and Specificity</subject><issn>0263-2136</issn><issn>1460-2229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1LwzAYxoMoc06v3oSePAjdkrxN0h1lTicOhDHH8BLS9K1W-zGTFuZ_72bHTi8Pzwe8P0KuGR0yOoZRZsqNM6O9HEJ0QvoskjTknI9PSZ9yCSFnIM_JhfdflFKlhOqRXhwpFY9pn9wtPzF4yM1HVfsmt8HKFC0GdRYs0DamCKZbU-aVafK6uiRnmSk8Xh3ugLw9TpeTWTh_fXqe3M9DCzxuwpRmggsQEcOEguUUYwlGpSjSDKxJJGOgJMSRlDTJjECbKCOp4pJHkCCHAbntdjeu_mnRN7rMvcWiMBXWrddKyDhWu98HZNgFrau9d5jpjctL4341o3oPR3dw_qWGaFe4OSy3SYnpMX6gsfPDzs99g9ujbdy3lgqU0LP1u4bF8mUtVlJL-APNWW52</recordid><startdate>19930301</startdate><enddate>19930301</enddate><creator>MURIS, JWM</creator><creator>STARMANS, R</creator><creator>WOLFS, GGMC</creator><creator>POP, P</creator><creator>KNOTTNERUS, JA</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930301</creationdate><title>The Diagnostic Value of Rectal Examination</title><author>MURIS, JWM ; STARMANS, R ; WOLFS, GGMC ; POP, P ; KNOTTNERUS, JA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-d0f5253541eb03c20e863a7de5df3cab611376384660bfa5ecb7a60726243be23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Appendicitis - diagnosis</topic><topic>Family Practice</topic><topic>Humans</topic><topic>Male</topic><topic>Physical Examination</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Rectal Neoplasms - diagnosis</topic><topic>Rectum</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MURIS, JWM</creatorcontrib><creatorcontrib>STARMANS, R</creatorcontrib><creatorcontrib>WOLFS, GGMC</creatorcontrib><creatorcontrib>POP, P</creatorcontrib><creatorcontrib>KNOTTNERUS, JA</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Family practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MURIS, JWM</au><au>STARMANS, R</au><au>WOLFS, GGMC</au><au>POP, P</au><au>KNOTTNERUS, JA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Diagnostic Value of Rectal Examination</atitle><jtitle>Family practice</jtitle><addtitle>Fam Pract</addtitle><date>1993-03-01</date><risdate>1993</risdate><volume>10</volume><issue>1</issue><spage>34</spage><epage>37</epage><pages>34-37</pages><issn>0263-2136</issn><eissn>1460-2229</eissn><abstract>The rectal examination is a much advocated procedure for assessing abdominal and urinary symptoms. A Medline literature search yielded only a few studies, not one of them in a general practice setting. The sensitivity of the rectal examination to rectal carcinoma and appendicitis is low, while it is high for prostate carcinoma. When reviewing the likelihood ratios of normal and abnormal findings of rectal examinations it was concluded that it may be a useful procedure in the case of abnormal findings in patients presenting rectal problems and in assessing men with prostate problems, although it does not seem useful in diagnosing appendicitis. However, since the diagnostic values in general practice and in referred populations may be difterent, there is a need for further prospective studies in settings of general medical practice.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>8477890</pmid><doi>10.1093/fampra/10.1.34</doi><tpages>4</tpages></addata></record> |
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source | Oxford University Press Journals Digital Archive legacy; MEDLINE |
subjects | Appendicitis - diagnosis Family Practice Humans Male Physical Examination Prostatic Neoplasms - diagnosis Rectal Neoplasms - diagnosis Rectum Sensitivity and Specificity |
title | The Diagnostic Value of Rectal Examination |
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