Stoma examinationCreated OnMarch 5, 2020Last Updated OnApril 15, 2020byadmin You are here: Main Clinical Examination Stoma examination < All Topics Table of Contents Inspection Stoma Site Drainage bag – content Formed stool? Semi or liquid stool? Urine? Appearance Mucosal lining Presence of spout or flush stoma Single lumen or double lumen (End or loop colostomy) Any visible complications Abdomen (generally) Moving with respiration (if not-peritonitis) Surgical scars Visible mass Abdominal distension Visible peristalsis Other drains/healed stoma sites Palpation General abdominal palpation Stoma – request for gloves Double lumen – loop colostomy/ Ileostomy Single lumen – end colostomy Percussion Shifting dullness for ascites Auscultation Bowel sounds Always perform: Examination of perineum Presence of anus – loop colostomy/ ileostomy /Hartman’s procedure Absent anus – end colostomy- abdomino-perineal resection (APR) Per-rectal examination (if anus present) Any palpable mass Difference between colostomy & ileostomy ILEOSTOMY COLOSTOMY SITE Right iliac fossa / upper part of abdomen(left illac fossa, right illac fossa, epigastric region) Left iliac fossa SURFACE Always Spouting Flat/flush with skin CONTENTS Watery – small bowel content Feculent /semisolid OUTPUT High:500ml-1000ml/day Low:200-300ml/day Ileostomy Colostomy TYPES OF COLOSTOMY based on location Doctrina Perpetua Clinical Surgery 2nd edition. *Taken from Doctrina Perpetua Clinical Surgery 2nd edition.
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