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    Chief Complaint: Hematochezia

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    renne elle
    A retired cook presented with hematochezia for 4 days following consumption of Guyabano fruit. He experienced loose, watery stools with blood but no other symptoms. His symptoms initially improved but a stool exam revealed blood, so he was admitted for colonoscopy. On physical exam, he had hemorrhoids and a positive test for fecal blood but was otherwise normal. He has a past medical history of hypertension, gout, and diet-controlled diabetes.

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    Chief Complaint: Hematochezia

    Uploaded by

    renne elle
    18 views9 pages
    A retired cook presented with hematochezia for 4 days following consumption of Guyabano fruit. He experienced loose, watery stools with blood but no other symptoms. His symptoms initially improved but a stool exam revealed blood, so he was admitted for colonoscopy. On physical exam, he had hemorrhoids and a positive test for fecal blood but was otherwise normal. He has a past medical history of hypertension, gout, and diet-controlled diabetes.

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    A retired cook presented with hematochezia for 4 days following consumption of Guyabano fruit. He experienced loose, watery stools with blood but no other symptoms. His symptoms initially improved but a stool exam revealed blood, so he was admitted for colonoscopy. On physical exam, he had hemorrhoids and a positive test for fecal blood but was otherwise normal. He has a past medical history of hypertension, gout, and diet-controlled diabetes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    18 views9 pages

    Chief Complaint: Hematochezia

    Uploaded by

    renne elle
    A retired cook presented with hematochezia for 4 days following consumption of Guyabano fruit. He experienced loose, watery stools with blood but no other symptoms. His symptoms initially improved but a stool exam revealed blood, so he was admitted for colonoscopy. On physical exam, he had hemorrhoids and a positive test for fecal blood but was otherwise normal. He has a past medical history of hypertension, gout, and diet-controlled diabetes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 9

    CHIEF COMPLAINT

    Hematochezia
    History of Present Illness
    4 days PTA:
     Ate a lot of Guyabano fruit
     5 hours later - onset of loose watery stools, bloody in
    character with no other associated symptoms, drank water
    to hydrate
     Total of 3-4 episodes per day.
     No medications were taken, no consult was done, patient
    tolerated his condition.
    History of Present Illness
    1 day PTA:
     Symptoms improved and decided to have his stool sent to labs
    for stool exam, results revealed presence of blood in his stool
     Contacted their family physician and was advised for
    admission and colonoscopy, thus this admission.
    Past Medical History

    Hyprtension (2013)
    - maintenance medications:
    Amlodipine 100 mg/tab, 1 tab OD
    Atorvastatin 40 mg/tab, 1 tab OD

    Gout (2013)
    - maintenance medications:
    Allopurinol 300 mg/tab, 1 tab OD


    DM T2 NIR- Diet Controlled

    NO asthma

    NO past surgeries

    Has prior hospitalization at Kaiser Hospital, California USA
    Personal and Social History
     Retired cook
     Lives with his wife
     22 years smoker: 66 pack years
     Completed 2 doses of ____ vaccine. No booster
    Review of Systems
     General Survey: (-) Fever, (-) Dizziness, (-) Fatigue, (-) Weight loss
     Skin: No rashes or other changes
     HEENT: (-) Headache, (-) tinnitus
     Respiratory: (-) Cough, (-) Tachypnea, (-) Dyspnea, (-) wheezing
     CVS: (-) Tachycardia/Bradycardia, (-)Murmurs, (-) palpitations
     Gastrointestinal: (-) Abdominal pain, (-) Vomiting
     GUS: (-) Flank pain, (-) Dysuria
     Rectal: (-) pain during passage of stools
     Extremities: (-) Edema
    Physical examination
    General: patient seen and examined awake, afebrile, coherent not in
    respiratory distress with the following vital signs:
    V/S:
     BP: 130/80 mmhg
     HR: 86 bpm
     RR: 19 cpm
     O2Sat: 99% room air

    Skin: no leisons , no jaundice, no cyanosis, warm to touch

    HEENT: anicteric sclerae, pink palpebral conjunctiva ,no naso aural


    discharges, tongue midline, oral mucosa pink

    C/L: equal chest expansion, clear breath sounds


    Physical examination
    CVS: adynamic precordium , distinct heart sounds , regular rate and rhythm , no
    murmurs

    Abdomen: Flabby, no leisons, normoactive bowel sounds, non tender

    Rectal: (+) Fecal blood, (+) Hemorrhoids Grade 2

    Extremities: no edema, no gross deformities, strong peripheral


    Pulses, CRT <2sec
    THANKS

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