Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice?

RT @MadmanBantering: in hospitals many physicians are so adamant about the digital rectal exam #DRE, they say it should be considered in al…

RT @Rights4Patients: Part of their routine to assert power and control over the patient.

Part of their routine to assert power and control over the patient.

in hospitals many physicians are so adamant about the digital rectal exam #DRE, they say it should be considered in all patients admitted to hospital who are over the age of 40, unless the examiner has no fingers or the patient no anus #FuckDoctors https

#PatientChoice #PatientDignity #PrescribedHarm #patientautonomy The per rectal (PR) or digital rectal exam #DRE is not at all comfortable or welcomed by an overwhelming majority of patients. https://t.co/tEvz5XPvTx

#DoctorsAreDickheads #PatientChoice #PatientDignity he paternalistic Dr. Evil that snaps a gloved finger asking the patient to bend over is no longer tolerated or best practice. https://t.co/ERZwmVNZ4k

#MeToo #DoctorsAbuseToo #NursesAbuseToo #DoctorsAreDickheads #PatientChoice #NeedTo Rectal exams hurt, in prison form of rape; patients get angry during them... paternalistic Dr. Evil that snaps a glove ask patient to bend over is no longer tolerated. h

@therealnige @nhsjuniordoc Devil's advocate - why? Utility compared to more sensitive/ specific tests is debatable. https://t.co/C2yuULXFQX

@JohnPCruise @nhsjuniordoc This - not sure I completely agree, but the idea that a rectal examination is unnecessary in most ED contexts isn't novel or shocking. https://t.co/C2yuULXFQX

@eabramsMD @srrezaie would eval with CBC & history/physical. I don't think available data justify use of DRE to look for occult GI bleed in a patient without any other signs/symptoms of this (overall evidence supporting use of DRE seems pretty scanty)

#ATLS #EmergencyMedicine, checkout: "Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice?" Great article for best practices. @SpecOpsMedics @JSurgRes @emsocmanchester @SpringerOpen @DanGhiurluc https://t.

Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice? #FOAMed https://t.co/MxSHAZxbu4

Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice? https://t.co/IciM0mmCgb