bright red blood per rectum (BRBPR)
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Etiology
- see hematochezia
Pathology
- red blood in the stool generally originates in the colon, rectum or anus
- less frequently brisk bleeding from the small intestine may result in red blood in the stool
Diagnostic procedures
Management
- additional investigation (beyond anoscopy) indicated in patients > 50 years of age[2]
- visualization of hemorrhoid or other source of bleed in patient < 40 years of age may obviate need for lower GI endoscopy[2]
- see lower gastrointestinal hemorrhage
More general terms
References
- ↑ Guide to Physical Examination & History Taking, 4th edition, Bates B, JB Lippincott, Philadelphia, 1987
- ↑ 2.0 2.1 2.2 Medical Knowledge Self Assessment Program (MKSAP) 11, 16. American College of Physicians, Philadelphia 1998, 2012
- ↑ Journal Watch 22(5):38, 2002 Lewis JD et al, Initial evaluation of rectal bleeding in young persons: a cost-effectiveness analysis. Ann Intern Med 136:99, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/11790061