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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - Neither the ED staff nor the internal medicine team documented any rectal or genital examinations, and … Finally, the value and benefit of smell and touch in the exam process is lost in a video visit. … While invasive parts of the physical examination, such as a digital rectal or vaginal bimanual exam, … A digital rectal examination is useful to rule out other causes of perianal pain, such as hemorrhoids … While invasive parts of the examination, such as a digital rectal or vaginal bimanual exam, may often
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2002
December 01, 2002 - Comparison of digital rectal examination and serum prostate specific antigen in the early detection of … Case‐control study of screening for prostatic cancer by digital rectal examinations. … Screening digital rectal examination and prostate cancer mortality: a case‐control study. … Screening digital rectal examination and prostate cancer mortality: a population‐based case‐control study … Available at: https://www.aafp.org/exam . Accessed March 01, 2002. 19.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening-2002
June 13, 2002 - Neither digital rectal examination (DRE) nor the testing of a single stool specimen obtained during DRE … Digital Rectal Examination/Office FOBT
There is little evidence to determine the effectiveness of … by DRE may be affected by other limitations, including inadequate amount of stool or trauma from the exam … Estimated sensitivity of a single exam is 90% for large polyps and 75% for small polyps (less than 1 … Available at: www.aafp.org/exam/.
Solomon MJ, McLeod RS. Preventive health care, 2001 update.
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - immobile and seated in a room and with the patient represented either on an index card or a PDA (personal digital … unnecessary examination, and difficulty in finding a chaperone.( 5 ) Often, if one sees a patient had a rectal … Taylor and colleagues attempted to correlate USMLE exam scores, clinical skills exam scores, and undergraduate … , USMLE step 2 scores, USMLE step 1 scores, and then step 2 clinical skills exam scoring.( 7 ) Even if … there had been a direct correlation between the exam and intern performance measured by residency program
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/NhXnjZM5ubvygH5GrqDZHC
August 01, 2008 - Poor
DRE � digital rectal examination; PSA � prostate-specific antigen; TRUS � transrectal ultrasonography … Digital rectal ex-
amination and prostate biopsy cause discomfort or pain in
most men. … Fair
DRE � digital rectal exam; ERSPC � European Randomized Study of Screening for Prostate Cancer; … Screening by prostate-specific antigen and digital rectal
examination in relation to prostate cancer … Prostate cancer mortality in
relation to screening by prostate-specific antigen testing and digital rectal
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www.uspreventiveservicestaskforce.org/uspstf/document/article/prostate-cancer-screening-2008
August 05, 2008 - Digital rectal examination and prostate biopsy cause discomfort or pain in most men. … The ERSPC randomly assigned 190 000 men between ages 50 and 75 years to screening with PSA, digital rectal … Screening by prostate-specific antigen and digital rectal examination in relation to prostate cancer … Prostate cancer mortality in relation to screening by prostate-specific antigen testing and digital rectal … Fair
DRE = digital rectal exam; ERSPC = European Randomized Study of Screening for Prostate Cancer
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zxXWqacXvfKPyQB9LCrZjX
August 01, 2008 - Screening Tests
The PSA test is more sensitive than the digital rectal
examination for detecting prostate … rectal examination found no reduction in prostate
cancer mortality in men invited versus men not invited … rectal examination to men annually
beginning at age 50 years. … D
o not screen
G
rade: D
The prostate-specific antigen (PSA
) test is m
ore sensitive than the digital … rectal exam
ination (D
R
E).
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - objectively quantify symptoms and serve as a basis for judging future worsening or improvement.( 5 ) A digital … rectal examination could have demonstrated a symmetrically enlarged, firm (like the tip of the nose) … due to benign prostatic hyperplasia should include an American Urological Association symptom score, digital … rectal exam, and urinalysis.
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hcup-us.ahrq.gov/toolssoftware/procedure/pc2015.csv
January 01, 2012 - '4871' SUTURE OF RECTAL LACER 4
'4872' CLOSURE OF PROSTOMY 4
'4873' CLOSE RECTAL FIST NEC 4
'4874 … LACERAT 4
'6762' CERVICAL FISTULA REPAIR 4
'6769' CERVICAL REPAIR NEC 4
'680 ' HYSTEROTOMY 4
'6811' DIGITAL … EXAM OF UTERUS 1
'6812' HYSTEROSCOPY 1
'6813' OPEN UTERINE BIOPSY 3
'6814' OPEN UTERINE LIGAMENT … '8929' OTHER GU SYSTEM EXAMS 1
'8931' DENTAL EXAMINATION 1
'8932' ESOPHAGEAL MANOMETRY 1
'8933' DIGITAL … ENTEROSTOMY EXAM 1
'8934' DIGITAL RECTAL EXAM 1
'8935' NASAL SINUS TRANSILLUMIN 1
'8936' MANUAL EXAM
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cancer.html
May 01, 2018 - age 20 and over
Worse
Narrowing
Men age 75+ without prostate cancer who had a PSA test or digital … rectal exam for prostate cancer screening within the past year
Same
No Change
Lung cancer
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
June 01, 2018 - age 20 and over
Worse
Narrowing
Men age 75+ without prostate cancer who had a PSA test or digital … rectal exam for prostate cancer screening within the past year
Same
No Change
Lung cancer
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/vCzPVrVJfgFWfpWRdEHMKQ
July 01, 2012 - Periodic digital rectal examinations could also be an
alternative strategy worthy of further study. … Screening tests or
programs that do not incorporate PSA testing, including
digital rectal examination … rectal examinations by
trained clinicians. … The
screening intervals, PSA thresholds, use of digital rectal
examinations, enrollee characteristics … doing prostate biopsy at lower PSA thresholds than
previously used in randomized screening trials (for exam
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/zYdjLaTCTBVUwgJTnzpVXr
May 08, 2018 - The use of
digital rectal examination as a screening modality is not recom-
mended because there is a … rectal examination and prostate
biopsy, with potential for exposure to repeated harms from biop-
sies … Abnormal screening
results (PSA level >4.0 ng/mL or abnormal digital rectal examina-
tion findings) were … Approximately one-
third of men in both groups had either a PSA test or digital rectal
examination within … good-quality and 1 fair-quality random-
ized trials and 7 large fair-quality observational studies that exam
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - age 20 and over
Worse
Narrowing
Men age 75+ without prostate cancer who had a PSA test or digital … rectal exam for prostate cancer screening within the past year
Same
No Change
Lung cancer … The four recommended services are 2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
July 01, 2015 - women
age 20 and over
Worse Narrowing
Men age 75+ without prostate cancer who had a PSA test
or digital … rectal exam for prostate cancer screening within
the past year
Same No Change
Lung cancer deaths … The four recommended services are 2+ hemoglobin A1c tests, foot exam,
dilated eye exam, and flu shot … The four recommended services are 2+ hemoglobin A1c tests, foot exam,
dilated eye exam, and flu shot
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-26-ehr-and-mu.pdf
September 01, 2015 - For practices that are just beginning their American Medical
journey towards going digital, providing … -81111gPOone911t
r Aspm 32511111 PO ore a/It
REFERRAlS
DerlalExam
-.SEducaor
Dilaled Eye Exam … Lymphatic l Breast J Respiratory I Thorax l I Cardiovascular
Vascular Abdomen )11 Genitourinary ) Rectal … lleurological ) ,( P~hiatric
Extremities ( •led al nonnal ... ·~,'
Pulses Vascular I Right Left Monofrl m~ Exam … Sample documentation template for foot exam.
Source: HealthIT.gov, 2014.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - N/A
564 FUNCT DIGESTIVE DIS NEC -3 NO -3 NO
565 ANAL FISSURE & FISTULA -3 NO -3 NO
566 ANAL & RECTAL … NO
V20 HEALTH SUPERVISION CHILD -5 NO -5 NO
V22 NORMAL PREGNANCY -5 NO -5 NO
V24 POSTPARTUM CARE/EXAM … ADMINISTRATIVE ENCOUNTER -5 NO -5 NO
V69 LACK OF PHYSICAL EXERCSE -5 NO -3 NO
V70 GENERAL MEDICAL EXAM
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - 100,000 women age 20 and over Worse Narrowing
Men age 75+ without prostate cancer who had a PSA test or digital … rectal exam for prostate cancer screening within the past year Same No Change
Lung cancer deaths per … The four recommended services are 2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
November 01, 2020 - age 20 and over
Worse
Narrowing
Men age 75+ without prostate cancer who had a PSA test or digital … rectal exam for prostate cancer screening within the past year
Same
No Change
Lung cancer … The four recommended services are 2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot. … Importance: Colon and rectal procedures are ranked among the most harmful procedures, with high rates
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
March 01, 2020 - age 20 and over
Worse
Narrowing
Men age 75+ without prostate cancer who had a PSA test or digital … rectal exam for prostate cancer screening within the past year
Same
No Change
Lung cancer … The four recommended services are 2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot.