PR Bleeding Flashcards

1
Q

Differentials

A

CA
Unintentional LOW/LOA
Back pain
Local spread
LLBB

Haemorrhoids
Lump at anus
Digitation

Fissure
Sharp pain outlasting defecation

IBD
LOA/LOW
Joint pain
Dry mouth and eyes
FHx

Blood
Clotting problems
Blood thinners

Diverticulitis
Fever
Pain
Long standing constipation

Infection
Diarrhoea
Foreign travel

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2
Q

Investigations

A

Bloods
FBC
Clotting
CEA
Group and save
U&E
LFT

ABG
Lactate

ECG
AF emboli in mesenteric ischemia

Imaging
Colonoscopy and Bx or CTC
XRay
USS
CT TAP
Mesenteric angiogram

Stool
Culture
SFR

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