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COLORECTAL DISEASE
Case #7 -
A 70 year old female with passing bright red blood per rectum

DISCUSSION QUESTIONS:
1.) What is the initial emergency room management of this patient?  Answer 
2.) What additional history is needed?
 
Answer 
3.) What are important aspects of the physical examination?
 
Answer 
4.) In this age patient, what are the more likely etiologies of lower GI bleeding?
 
Answer 
5.) If she were 50 years old, would these likely etiologies change? If she were 20? If she were 10?
 
Answer 
6.) What laboratory workup is needed?
 
Answer 
7.) What is the next step in identifying the source of bleeding?
 
Answer 
8.) If this procedure does not provide the needed information, are there other investigations that may help?
 
Answer 
9.) What are the limitations of these additional studies?
 
Answer 
10.) What are indications for surgical intervention?
 
Answer 
11.) What operative procedures may be required?  Answer 
 
  The Virtual Patient > Case List > COLORECTAL DISEASE - Case # 7