Approach to the Patient With Hematochezia

Abstract The evaluation of the patient with hematochezia can be complex because of the broad differential diagnosis and the number of management strategies available. In this article, a simplified approach to the history and physical examination is presented, with management illustrated in a case-or...

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Veröffentlicht in:	Mayo Clinic proceedings 2017-05, Vol.92 (5), p.797-804
Hauptverfasser:	Cotter, Thomas G., MD, Buckley, Niamh S, Loftus, Conor G., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Pain - diagnosis Abdominal Pain - etiology Adult Aged Aged, 80 and over Alcohol-Related Disorders - complications Alcohol-Related Disorders - diagnosis Alcohol-Related Disorders - therapy Antiplatelet therapy Arteriovenous Malformations - complications Arteriovenous Malformations - diagnosis Carcinoid Tumor - complications Carcinoid Tumor - diagnosis Carcinoid Tumor - surgery Care and treatment Colon Colon - blood supply Colonoscopy - methods Crohn Disease - complications Crohn Disease - diagnosis Diagnosis Diagnosis, Differential Digital Rectal Examination - methods Diverticulosis, Colonic - complications Diverticulosis, Colonic - diagnosis Diverticulosis, Colonic - therapy Erythrocytes Female Fissure in Ano - complications Fissure in Ano - diagnosis Fissure in Ano - therapy Gastrointestinal hemorrhage Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - therapy Gastrointestinal tract Hemorrhage Humans Inflammatory bowel disease Internal Medicine Ischemia - complications Ischemia - diagnosis Ischemia - therapy Male Meckel Diverticulum - complications Meckel Diverticulum - diagnosis Medical History Taking - methods Middle Aged Mortality Pelvic Pain - diagnosis Pelvic Pain - etiology Physical Examination - methods Risk factors
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Zusammenfassung:	Abstract The evaluation of the patient with hematochezia can be complex because of the broad differential diagnosis and the number of management strategies available. In this article, a simplified approach to the history and physical examination is presented, with management illustrated in a case-oriented manner.
ISSN:	0025-6196 1942-5546
DOI:	10.1016/j.mayocp.2016.12.021