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 |
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| container_title | Mayo Clinic proceedings |
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| creator | Cotter, Thomas G., MD Buckley, Niamh S Loftus, Conor G., MD |
| description | 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. |
| doi_str_mv | 10.1016/j.mayocp.2016.12.021 |
| format | Article |
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In this article, a simplified approach to the history and physical examination is presented, with management illustrated in a case-oriented manner.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.1016/j.mayocp.2016.12.021</identifier><identifier>PMID: 28473039</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>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</subject><ispartof>Mayo Clinic proceedings, 2017-05, Vol.92 (5), p.797-804</ispartof><rights>Mayo Foundation for Medical Education and Research</rights><rights>2017 Mayo Foundation for Medical Education and Research</rights><rights>Copyright © 2017 Mayo Foundation for Medical Education and Research. 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All rights reserved.</rights><rights>COPYRIGHT 2017 Frontline Medical Communications Inc.</rights><rights>Copyright Mayo Foundation for Medical Education and Research May 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-ad0df2e741ad42324c178efa3a1c590094727ba619751c871a2637e8905425cb3</citedby><cites>FETCH-LOGICAL-c489t-ad0df2e741ad42324c178efa3a1c590094727ba619751c871a2637e8905425cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1898424017?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,64384,64388,72240</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28473039$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cotter, Thomas G., MD</creatorcontrib><creatorcontrib>Buckley, Niamh S</creatorcontrib><creatorcontrib>Loftus, Conor G., MD</creatorcontrib><title>Approach to the Patient With Hematochezia</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>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.</description><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - etiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcohol-Related Disorders - complications</subject><subject>Alcohol-Related Disorders - diagnosis</subject><subject>Alcohol-Related Disorders - therapy</subject><subject>Antiplatelet therapy</subject><subject>Arteriovenous Malformations - complications</subject><subject>Arteriovenous Malformations - diagnosis</subject><subject>Carcinoid Tumor - complications</subject><subject>Carcinoid Tumor - diagnosis</subject><subject>Carcinoid Tumor - surgery</subject><subject>Care and treatment</subject><subject>Colon</subject><subject>Colon - blood supply</subject><subject>Colonoscopy - methods</subject><subject>Crohn Disease - complications</subject><subject>Crohn Disease - diagnosis</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Digital Rectal Examination - methods</subject><subject>Diverticulosis, Colonic - complications</subject><subject>Diverticulosis, Colonic - diagnosis</subject><subject>Diverticulosis, Colonic - therapy</subject><subject>Erythrocytes</subject><subject>Female</subject><subject>Fissure in Ano - complications</subject><subject>Fissure in Ano - diagnosis</subject><subject>Fissure in Ano - therapy</subject><subject>Gastrointestinal hemorrhage</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Gastrointestinal tract</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Internal Medicine</subject><subject>Ischemia - complications</subject><subject>Ischemia - diagnosis</subject><subject>Ischemia - therapy</subject><subject>Male</subject><subject>Meckel Diverticulum - complications</subject><subject>Meckel Diverticulum - diagnosis</subject><subject>Medical History Taking - methods</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Pelvic Pain - diagnosis</subject><subject>Pelvic Pain - etiology</subject><subject>Physical Examination - methods</subject><subject>Risk factors</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkU9r3DAQxUVpaTZ_vkEJhkIgB7saeWxZl8ISkiYQaKAJyU1o5dlYW-9qY2kDm09fLU4T6KUnIXhv5s3vMfYFeAEc6m-LYmm23q4LkX4FiIIL-MAmoFDkVYX1RzbhXFR5DareY_shLDjnUin8zPZEg7LkpZqw0-l6PXhjuyz6LHaU3ZjoaBWzexe77JKWJnrb0Yszh-zT3PSBjl7fA3Z3cX57dplf__xxdTa9zi02Kuam5e1ckEQwLYpSoAXZ0NyUBmylOFcohZyZlEpWYBsJRtSlpEbxCkVlZ-UB-zrOTbmeNhSiXvjNsEorNTSqQYEcZFKdjKpH05PuyPSxC77fROdXQU9R1TWWKDEJcRTawYcw0FyvB7c0w1YD1zuQeqFHkHoHUoPQCWSyHb-m2MyW1L6Z_pJLgu-jgBKLZ0eDDjaBs9S6gWzUrXf_2_DvANu7lbOm_01bCu9H65AM-teuzF2X6fjUIzyUfwCDhpc_</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Cotter, Thomas G., MD</creator><creator>Buckley, Niamh S</creator><creator>Loftus, Conor G., MD</creator><general>Elsevier Inc</general><general>Frontline Medical Communications Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope></search><sort><creationdate>20170501</creationdate><title>Approach to the Patient With Hematochezia</title><author>Cotter, Thomas G., MD ; Buckley, Niamh S ; Loftus, Conor G., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-ad0df2e741ad42324c178efa3a1c590094727ba619751c871a2637e8905425cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - etiology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alcohol-Related Disorders - complications</topic><topic>Alcohol-Related Disorders - diagnosis</topic><topic>Alcohol-Related Disorders - therapy</topic><topic>Antiplatelet therapy</topic><topic>Arteriovenous Malformations - complications</topic><topic>Arteriovenous Malformations - diagnosis</topic><topic>Carcinoid Tumor - complications</topic><topic>Carcinoid Tumor - diagnosis</topic><topic>Carcinoid Tumor - surgery</topic><topic>Care and treatment</topic><topic>Colon</topic><topic>Colon - blood supply</topic><topic>Colonoscopy - methods</topic><topic>Crohn Disease - complications</topic><topic>Crohn Disease - diagnosis</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Digital Rectal Examination - methods</topic><topic>Diverticulosis, Colonic - complications</topic><topic>Diverticulosis, Colonic - diagnosis</topic><topic>Diverticulosis, Colonic - 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| subjects | 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 |
| title | Approach to the Patient With Hematochezia |
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