4. Purpose
⢠Structures for LBA
⢠History taking
⢠Examination
⢠Relevant Investigations
⢠Management
5. Approach according to Structure
⢠Skin
⢠Muscles and Fascia
⢠Bone/Spine
⢠Intervertebral Disc
⢠Spinal Cord and Nerve roots
⢠Visceral Diseases
44. Per â rectal Examination
⢠Perianal Sensation â S3S4S5
⢠Anal Wink
⢠Anal Tone
⢠Voluntary Anal Contraction
45. Investigations
⢠Complete Blood Picture
⢠ESR, CRP
⢠Liver Function test
⢠Renal Function Test
⢠RA factor, HLA B27, ANA
⢠Bone Scan
⢠CT guided/Open Biopsy, Tissue Culture