Obstructive Uropathy . . . Rectal Examination . . . Intravenous Pyelography . . . Flu.
July 18th I had a middle-aged male yesterday, referred from his company clinic. His problem was difficulty in micturating. He would get to a convenience whenever he feels the urge to pass urine but then finds that he needs to wait for many seconds to lapse before the urine out-flow can actually begin. There usually is some straining on his part to achieve a good stream. Obviously he has some degree of obstruction anywhere along the urinary out-let. Could be a Urethral Stricture or a disease pathology of the Prostate gland. I had to do a full physical examination of the abdomen. This included a "digital" examination. This is a physical assessment per rectum (or a PR), in which the right index finger of the gloved hand, is inserted deeply into the rectum via the anus, in a certain deft maneouvre. I went ahead, informed and prepared him on my couch and then executed this maneouvre, thus acertaining the nature of the rectal mucosa as well as the prostate gland, all in one sweep ...