Bloody diarrhoa

Question 1

How do you manage acute abdomen? and with bleed?

Answer 1

Acute Abdomen

Nil By Most, IV fluids, analgesics, consider antiemetics, consider antibiotics, consult surgeons, monitor vitals

if bleed, send for OGD

if variceal bleeds-abx and Terlipressin (sphlancic vasopression)

investigate-FBC, U&E, LFT, CRP, Clotting, C&S, Xmatch, Erect CXR, CT

Question 2

Investigation for blood in stools?

Answer 2

STOOL sample, and Cdiff screen

all about loss of epithelial integrity
can be infective colitis
Can be Ischeamic colitis (older people)
Can be Ulceritive colitis

Colonoscopy-would see UC

Question 3

differential diagnoses for blood in stools?

Answer 3

infective colitis
Can be Ischeamic colitis (older people)
Can be Ulceritive colitis (younger patients)

Malignancy, diverticulitis