bloody rectum...

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Rick, would you do an EUA first, or simply watch?

>>> <docrickfry at aol.com> 04/24 2:58 PM >>>
Watch NPO overnite, fed the next day if no change in abdominal exam,
send home when eating
ERF 
 
-----Original Message-----
From: joe.nemeth at staff.mcgill.ca 
To: trauma-list at trauma.org 
Sent: Mon, 24 Apr 2006 07:56:40 -0400
Subject: bloody rectum...


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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