GI Bleeding

Question 1

painful rectal bleeding w/ blue-ish bulge distal to the anal verge

Answer 1

thrombosed external hemorrhoid - tx w/ excision under local -> sitz baths + analgesics

Question 2

immediate imaging/tx for esophageal perforation

Answer 2

esophagram w/ water-soluble contrast; tx w/ zosyn (gram + and -)

Question 3

bloody diarrhea after eating leafy greens

Answer 3

shigellosis