GI

Question 1

Is blood darker in a left-sided lower GI bleed or right-sided lower GI bleed

Answer 1

blood is usually darker on RHS lower GI bleed (RHS is furrther away from exit i.e. anus so blood has more time to digest, would be less bright therefore)

Question 2

coeliac disease: what nail change would you get and why

Answer 2

koilonychia - coeliac disease is assoc w/ folate, B12 and iron def

koilonychia is assoc w/ IRON def