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bloody rectum...

docrickfry at aol.com docrickfry at aol.com
Tue Apr 25 17:10:30 BST 2006


Correct--same things you watch for as well whenever you nonoperatively observe a trauma patient for whatever reason--i.e. for free fluid on CT with no solid organ injury and benign exam, multiple injuries with benign abdomen being admitted for serial exams, etc.
ERF 
 
-----Original Message-----
From: Errington Thompson <errington at erringtonthompson.com>
To: 'Trauma &amp; Critical Care mailing list' <trauma-list at trauma.org>
Sent: Tue, 25 Apr 2006 11:26:30 -0400
Subject: RE: bloody rectum...


I don't understand the term "watch" or "observe".  What are you "watching"
for?  Increase in WBC, fever, abdominal tenderness?  

E

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Mission Hospital
Asheville, NC
Author - A Letter to America
www.erringtonthompson.com

 
Everyone deserves to make an informed decision
                                - Errington Thompson, MD

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Ronald Gross
Sent: Tuesday, April 25, 2006 7:53 AM
To: trauma-list at trauma.org
Subject: Re: bloody rectum...

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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