Rectal Bleeding Flashcards
1
Q
Upper GI Causes
A
Upper GI bleed
Gastric Ca
2
Q
Lower GI Causes
A
Colorectal Ca Rectal Ca Haemorrhoids Anal Fissues UC
3
Q
Haematology Causes
A
Bleeding disorder
Anticoagulantion
4
Q
Bedside Ix
A
PR - examine for anal and rectal Ca
Proctoscopy if indicated
5
Q
Bloods
A
FBC, haematinics, clotting, UEs, Group and save, INR, LFTs, ESR, Blood film
6
Q
Imaging
A
Colonoscopy/Gastroscopy
- UC, biopsy for Ca
- Upper GI bleed
CT staging if malignancy
MRI
7
Q
Systems R/V
A
Skin, eyes, (UC)
Fainting, SOBOE, fatigue (anaemia)
Abdominal pain/mass
8
Q
Fam Hx
A
Bowel Ca
IBD
Bleeding tendency
9
Q
Social Hx
A
Diet: meat (colon), fish (gastric)
Smoking
Alcohol (varices)
Travel
10
Q
RED FLAGS
A
Melaena Weight loss Change in bowel habit Anaemia (SOB, fatigue) Abdominal/Rectal Mass
11
Q
Drug Hx
A
NSAIDs Steroids Aspirin Warfarin, NOACs - P450 inhibitors if on warfarin
