Im
HIV - 01-02-08 12:40
An 80-year-old woman comes to the emergency department because of an acute episode of painless lower gastrointestinal bleeding. Physical examination discloses orthostatic hypotension. Anorectal examination is normal except for the presence of gross blood in the rectal vault. Nasogastric aspirate contains copious bile but no blood.
Which of the following is the most likely diagnosis?
A. Bleeding internal hemorrhoids
B. Diverticulosis
C. Vascular malformation
D. lschemic colitis
E. Colorectal adenoma or adenocarcinoma
HIV - 01-02-08 12:40
An 80-year-old woman comes to the emergency department because of an acute episode of painless lower gastrointestinal bleeding. Physical examination discloses orthostatic hypotension. Anorectal examination is normal except for the presence of gross blood in the rectal vault. Nasogastric aspirate contains copious bile but no blood.
Which of the following is the most likely diagnosis?
A. Bleeding internal hemorrhoids
B. Diverticulosis
C. Vascular malformation
D. lschemic colitis
E. Colorectal adenoma or adenocarcinoma
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#5
Re: Im babbu5508 - 07-07-10 00:44 A. Bleeding internal hemorrhoids
B. Diverticulosis
i'm confused between these two options...but most likely to go with b based on the age and finding of blood in the rectal vault
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