Page 1 of 1: hematochezia

drlouis · Credits: 5374 My Scrapbook

A 74-year-old woman is evaluated because of a second episode of painless, large-volume hematochezia. Three months ago, following her first episode, colonoscopy demonstrated both right- and left-sided diverticula, with a pigmented spot on a right-sided diverticulum. She is now admitted to the hospital for evaluation of a similar bout of painless hematochezia. Physical examination reveals tachycardia with orthostatic blood pressure changes, pale conjunctivae and skin, and mild bilateral abdominal tenderness. Laboratory tests show a hemoglobin of 10 g/dL.
Which of the following is the most likely diagnosis?
( A ) Colon cancer
( B ) Diverticulosis
( C ) Ischemic colitis
( D ) Diverticulitis
( E ) Ulcerative colitis

King75 · Credits: 3084 My Scrapbook

I would lay my money on Choice B) Divrticulosis

Any difference in opinion

Thank u

drlouis · Credits: 5374 My Scrapbook

yes,diverticulosis- its painless like angiodysplasia and pigmented spot on a diverticulum is characteristic of diverticulosis

diverticulitis-painful and inflammatory

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