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Sunday, February 2, 2014

Haematochezia its causes and newest treatment

Passage of bright red blood per rectum.
Usually indicate that lesion distal to Rh. Colon
AE:
Hemorrhoids
Diverticulosis.
Colitis
Colonic Cancer: usually present with chronic occult bleedin
D of Haematochezia:
1- Clinical history
2- PR examination
3- Colonoscop
4- Barium enema
5- Nasogastric tube: -ve
6- Lab: Aneamia
Occult GIT blood loss:
normal appearing stool
hemoccult +ve
N.B: C/P of GIT hge:
1- C/P of i type of hge.
2- Hypovolemic shock
3- Recurrent GIT hge ® lead to iron deficiency anaemia.
4- C/P of i aetiology


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