Examination Under Anaesthesia

Examination Under Anaesthesia ●​ Patient is under general or anaesthesia → examine while patient is under it ○​ Could perform more thorough examination ○​ Painless Purpose ●​ Allows for detailed examination of internal structures ●​ Pain reduction for patient ●​ Examination on area with muscle tension ●​ Prevent pain for proper evaluation ●​ Assist with Dx and Tx planning Common use of EUA ●​ Gynecology ○​ Examination on uterus and ovaries ○​ Examination on pelvic masses ●​ Colorectal surgery ○​ Assessment of anal and rectal disorders ●​ Orthopedics ○​ Examination of joints and ligament injuries ●​ Urology ○​ Evaluation on prostate + bladder abn Indications ●​ Could be used upon case by case ○​ When pain prevents proper physical examination ○​ Case where detailed lesion or mass is needed ○​ Patient uncooperative while in examination ○​ When surgical procedure must be done at the same time ●​ ex) ○​ Anal Fissure ○​ Rectal Cancer ○​ Endometriosis Procedures 1.​ Patient is given with general or regional anaesthesia 2.​ Systemic physical examination on appropriate area 3.​ Other procedures could be performed at the same time a.​ Biopsy b.​ Drainage of abscess c.​ Minor surgical Tx Adv ●​ ●​ ●​ R ●​ Elimination of pain + muscle resistance Accurate examination Simultaneous Dx and Tx is possible The procedure itself is generally safe but it follows with potential risks ○​ Reaction to anaesthesia ○​ Bleeding ○​ Infection ○​ Rare complication ■​ Depends on procedure performed Cx significance ●​ EUA is valuable and could be used in following ○​ Physical examination is limited ○​ Detailed internal examination req ○​ Immediate Tx is necessary