Digital Rectal Examination (DRE) : What to Examine?

1. No Contraindication for DRE:- Pt refuse/ any painful anal condition
2. Inspection of Anal region 
3. Insert Finger & check for anal tone
4. Intraluminal Examination - any mass, impacted feces etc
5. Extraluminal Examination ---> eg: Prostate
6. Removal Finger --> Any melenic stool/ blood etc

     * Painful Anal Condition

1. Anal Fissure
2. Anal Fistula
3. Prolapse/Thrombosed Hemorrhoid
4. Perianal Abscess  

* learnt from Mr Nazli credit to him