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bloody rectum...

SJASMD at aol.com SJASMD at aol.com
Tue Apr 25 02:16:05 BST 2006

In a message dated 4/24/2006 7:57:36 A.M. Eastern Standard Time,  
joe.nemeth at staff.mcgill.ca writes:

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

not even a little emphysema around the rectum on  CT?

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