bloody rectum...

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once again:

-30 y.o.female
-straddle injury, picket fence
-sustains "deep" perianal lac.
-DRE: good tone, no blood
-rig. sig.:fresh blood distal rectum ("?maybe ED doc's bloody fingered 
DRE exam")
-fleet enema
-repeat sig: same
-CT with rectal contrast: neg.


what next?...


-- 
Dr. Joe Nemeth
Assistant Professor
Emergency Medicine
Montreal General Hospital
Montreal Children's Hospital
McGill University Health Center

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