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First of all, stomas are tougher than they look! A gentle examination of a
patients stoma isn’t going to cause the bag to fall off or cause the patient any pain
or discomfort; if these bags have to stay in place and not leak as the patient goes
about their daily routine they are going to be able to withstand some gentle
movement by medical students and in all honestly you won’t have to touch it that
much anyway.
Introduction
Wash hands
Ask patient:
“Do you have any pain in your tummy”
Site
LIF: Colostomy
Number of lumens
1 and in RIF: End ileostomy or urostomy
Spout
Spout present:
Urine – Urostomy
Retraction – Obstruction
Auscultation
Wash hands
Thank patient
Summarise findings
“Some Naughty Surgeons Never Stay in the Evenings and Like Porches”
Site
Number of lumens
Spout
Nature of effluent
State of surrounding skin
Evidence of complication
Likely type of stoma
Possible pathology/procedure