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Gastro Exam
 
 

Prostate Palpation

October 29th, 2020
 
 
 
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Prostate Enlargement

  • Feel For

  • Enlargement of the prostate, through the anterior rectal wall.
  • Normal Size

  • 20 grams, or approximately the size of a walnut.
  • Causes of Prostate Enlargement

  • Benign prostatic hypertrophy
  • Prostate cancer
  • Prostatitis
  • Interpretation

  • Soft, painless enlargement - suggestive of BPH
  • Tender enlargement - suggestive of prostatitis
  • Asymmetric, firm enlargement - suggestive of prostate cancer

Prostate Nodularity

  • Feel For

  • A palpable nodule over the prostate, which may be enlarged.
  • Causes of Prostate Nodularity

  • Prostate cancer
  • Prostatic nodule
  • Prostatic calculus

Prostate Tenderness

  • Feel For

  • Tenderness over the anterior rectal wall, over the prostate.
  • Significance

  • Suggestive of prostatitis.
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