Your patient has requested a follow-up assessment of his pilonidal disease because of a recent onset of pruritus on his buttocks. To inspect the patient's perineum and sacrococcygeal area, you would position him
a. in the lithotomy position.
b. in the left lateral decubitus position.
c. bending over the examination table, with his legs spread apart.
d. supine, with legs spread apart.
B
For inspection, place the patient in the left lateral decubitus position and visualize the perineal skin. The lithotomy position is used for females undergoing a rectovaginal examination. Bending over the table with the legs spread apart is used typically with males undergoing a prostate palpation. For patients who are unable to stand, they can use a knee-chest position on the examination table, but they should not be supine, with the legs spread apart.
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