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INTRODUCTION: Wound debridement is a medical procedure in which dead, damaged and infected tissues as well as foreign bodies in a wound is removed to facilitate healing.  It is a very important procedure because presence of necrotic or dead tissues in a wound prevents the physiological process of wound healing whereby granulation tissue formation is limited if not stoped.   Organisms can colonize the wound through these necrotic tissues which generally can result in infection of the wound therefore debridement reduces risk of infection and facilitates healing.  Not all wounds may require debridement. Mainly wound which requires debridement are old or severe wounds which aren't getting better or is at risk of infection. Examples are Chronic ulcers, severe burns, etc. TYPES OF DEBRIDEMENT   Biological debridement  Enzymatic debridement  Conservative sharp or surgical sharp debridement  Mechanical debridement  Autolytic debridement...

DIGITAL RECTAL EXAMINATION ( DRE).     Digital rectal examination is an examination in which a doctor inserts a lubricated, gloved finger into the rectum to feel for abnormalities. It is a part of abdominal examination. The abnormalities in question include: prostate complications, cancer, pile/hemorrhoid, fistula and fecal impaction in which hardened feces are collected in the rectum or colon obstructing normal movement of feces. It is done mainly by inspection and palpation. In inspection, the clinical can check for swellings,  inflammation, ulceration, blood stains, rashes, encopresis( fecal soiling) which can denote valvular incompetence, tumour, etc around the anal region. In palpation, the clinician gently inserts a lubricated gloved finger into the rectum from the anus. In insertion,  the pulp of the finger and not the tip goes in followed by the whole finger. The lubricant must not be harmful. The finger is gently brushed around th...