Colon Polyps (Colonic Adenoma): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

• General physical examination – including blood pressure, pulse, body weight, height; furthermore:
  • Inspection (viewing).
    • Skin and mucous membranes
    • Abdomen (abdomen)
      • Shape of the abdomen?
      • Skin color? Skin texture?
      • Efflorescences (skin changes)?
      • Pulsations? Bowel movements?
      • Visible vessels?
      • Scars? Hernias (fractures)?
  • Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?).
  • Digital rectal examination (DRU): examination of the rectum (rectum) [bleeding from the anus, mucus discharge from the anus][due todifferential diagnoses:
    • Hemorrhoids
    • Crohn’s disease (inflammatory bowel disease)]

    [due topossible secondary diseases:

    • Colon carcinoma (colon cancer)
    • Peranal hemorrhage (bleeding from the anus)]
• Cancer screening [due todifferential diagnosis or possible secondary disease: colon carcinoma (colon cancer)].
• Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.