Anal wink test
The anal wink, anal reflex, perineal reflex, or anocutaneous reflex is the reflexive contraction of the external anal sphincter upon stroking of the skin around the.
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Cauda Equina Syndrome - Spine - Orthobullets
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Description:First, using a gloved hand, the examiner inspects the buttocks for fistulous tracts, the skin tags of hemorrhoids, excoriations, blood, and rectal prolapse. This drop in pressure was associated with increased electrical activity in the external anal sphincter. First, each side of the buttocks is scratched with the gloved finger to elicit the superficial anal reflex the anal "wink" , a function of L1 and L2. The reflex anal responses to cough and sniff are of practical importance in clinical examination. The patient then is asked to bear down to check again for rectal prolapse and for proper descent of the perineum, the area between the thighs from the coccyx to the pubis. Very rarely, a patient with carcinoma of the ampulla of Vater presents with a complaint of silver stools. Philip Miner and William Buser for their assistance.
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