The Bloody Bottom

Author: Maria Celina Bondoc / Editor: Steve Corry-Bass / Codes: HCPS4i / Published: 11/07/2019

A 73-year-old lady presents with 2 episodes of passing dark red blood per rectum associated with LIF pain of 1 day duration. She is otherwise systemically well.

No previous hospital admissions, and no co-morbidities.

On examination, observations: BP=140/90 HR=65 RR=20 SpO2=97% RA, Temp 37 C, the abdomen is soft and mildly tender in the LIF. PR exam shows bright red blood on the examining finger with no other obvious abnormalities.

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