Melena Melena Vs Hematochezia
- Make the Diagnosis: Purpura Plus Pain
- Case Findings: A 46-year-old woman who had been taking a prescription for naproxen went to the doctor with a rash of palpable purpura covering her legs and feet. The lesions were bilateral. Vesicles were beginning to form in some areas.
- BLOG: 93-year-old male with abdominal pain and distention
- In our ED he noted increased abdominal girth without passage of stool or flatus since discharge from the outside ED. He denied fevers, chills, SOB, or chest pain, and had not noticed any recent weight loss, melena, or hematochezia.
- ACG Clinical Guideline: Diagnosis and Management of Small Bowel Bleeding
- “Overt small bowel bleeding” refers to patients presenting with either melena or hematochezia with a source of bleeding identified in the small intestine.
- BLOG: 86-year-old male with obscure, occult GI bleeding
- He denies any dysphagia, odynophagia, GERD, weight loss, abdominal pain, nausea, vomiting, diarrhea, constipation, melena, or hematochezia. He denies any history of overt gastrointestinal bleeding but had been told that he had a positive fecal occult ...
- BLOG: 19 year-old female with cryptogenic cirrhosis developing lower GI bleed
- Subsequently, she presented to the emergency room with mild lower abdominal cramping, but no further episodes of hematochezia or melena. Additionally, she denied fevers, chills, nausea, vomiting and dysuria at that time.
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