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8 Cards in this Set
- Front
- Back
Key History -
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Melena vs. bright blood
amount duration associated Sxs - constitutional abdom pain rectal pain tenesmus constipation/diarrhea trauma prior h/o similar Sxs prior colonoscopy medications - esp. warfarin h/o easy bleeding atherosclerotic vas disease |
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Key PE -
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VS
orthostatics abdom exam rectal exam |
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67 y/o M
presents with blood in stool, weight loss, constipation family h/o colon cancer What is Differential? |
Colorectal cancer
anal fissure hemorrhoids diverticulosis ischemic bowel disease angiodysplasia upper GI bleeding IBD |
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67 y/o M
presents with blood in stool, weight loss, constipation family h/o colon cancer What is Workup? |
Rectal exam
CBC, PT/PTT AST/ALT/bilirubin/alk phos CEA colonoscopy CT - abdo/pelvis barium enema |
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33 y/o F
presents with rectal bleeding and diarrhea for the past week lwr abdom pain and tenesmus for several months What is Differential? |
UC
Crohn's proctitis anal fissure hemorrhoids diverticulosis dysentery |
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33 y/o F
presents with rectal bleeding and diarrhea for the past week lwr abdom pain and tenesmus for several months What is Workup? |
Rectal exam
CBC, PT/PTT AXR colonoscopy CT - abdo/pelvis barium enema |
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58 y/o M
presents with BRBPR and chronic constipation. He consumes low-fiber diet. What is Differential? |
Diverticulosis
anal fissure hemorrhoids angiodysplasia colorectal cancer |
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58 y/o M
presents with BRBPR and chronic constipation he consumes low-fiber diet What is Workup? |
Rectal exam
CBC, PT/PTT electrolytes colonoscopy CT - abdo/pelvis |