Chapter 25 Jarvis Health Assessment

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Anus, Rectum, and Prostate

Constipation

decrease in stool frequency, with difficult passing of very hard, dry stools

Hemorrhoid

flabby papules of skin or mucous membrane in the anal region caused by a varicose vein of the hemorrhoidal plexus

Melena

blood in the stool

Steatorrhea

excessive fat in the stool as in gastrointestinal malabsorption of fat

Occult blood

Blood detected in stool by means of a chemical test but not apparent to the naked eye.
-a sign of colon cancer

Stool types

-jelly-like mucus shreds mixed in stool indicate inflammation
-bright red blood on stool surface indicates rectal bleeding.
-bright red blood mixed with feces indicates possible colonic bleeding
-black tarry stool with distinct malodor indicates upper GI bleeding with blood partially digested.
-gray, tan stool--absent bile pigment(e.g. obstructive jaundice)
-pale yellow, greasy stool--increased fat content, as occurs with malabsorption syndrome

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