Minimal Bright Red Blood in Stools & Hemorrhoids Treatment скачать в хорошем качестве

Minimal Bright Red Blood in Stools & Hemorrhoids Treatment

Minimal Bright Red Blood in Stools & Hemorrhoids Treatment Hemorrhoids cause minimal bright red blood in stools.its diagnostic workup is a very highyield topic that is frequently tested on USMLE step 1 and USMLE step 2 ck.Painless bleeding per rectum or painful bleeding in stools is explained in detail in this video with all the causes of hematochezia explained in stepwise approach. Hemorrhoids causes, symptoms and treatment are explained i this video.Piles or anal fissures cause painful bleeding in stools and are diagnosed on simple digital rectal exam. Patient present with chief complaint of incidently finding blood on tissue paper. Rectal passage of minimal bright red blood most commonly occurs in a chronic intermittent pattern and has also been referred to as "intermittent scant hematochezia" [1]. The term minimal bright red blood per rectum (BRBPR) is used in this topic to indicate small amounts of red blood on toilet paper after wiping or a few drops of blood in the toilet bowl after defecation. Small amounts of blood on the surface of the stool is also considered minimal BRBPR, but red blood intermixed with stool is not. A history of minimal BRBPR suggests a lesion near the anal canal but must be differentiated from a history of melena (which implies upper gastrointestinal or slow proximal colonic bleeding) or maroon stool with intermixed bright red blood (which implies a proximal colonic or small intestinal source). However, patients' and clinicians' perceptions of stool color vary widely, even when assisted by a standardized color chart [2,3]. Benign etiologies of BRBPR are common and appear to account for 90 percent or more of all episodes of minimal BRBPR. The true proportion of benign etiologies may be even higher, since many young people with minimal BRBPR never present for care. However, scant rectal bleeding is also a common presenting symptom of serious diagnoses, such as colorectal cancer CHECK OUT MY VIDEOS ON CHRONIC DIARRHEA WORKUP: https://www.youtube.com/watch?v=3_STY... ACUTE DIARRHEA WORKUP: https://www.youtube.com/watch?v=AX2DM... JAUNDICE WORKUP:   • Jaundice Diagnostic Workup - Causes, Sympt...   GERD: https://www.youtube.com/watch?v=tFLb1... DYSPHAGIA WORKUP:    • Dysphagia(Difficulty Swallowing),Treatment...   TUBERCULOSIS WORKUP:    • Tuberculosis(TB) Treatment,Symptoms,TB Scr...   ESOPHAGEAL VARICES: https://www.youtube.com/watch?v=X308-... PULMONARY EMBOLISM WORKUP:    • Pulmonary Embolism(PE), Diagnosis Alogrith...   THYROID NODULE WORKUP:    • Approach to Thyroid Nodule & Cancer Workup...   ACID BASE BALANCE :    • Acid Base Balance for USMLE, PLAB ,MRCP al...   ANION GAP:    • Anion Gap Metabolic acidosis made easy ALL...   The appropriate evaluation of a patient presenting with minimal BRBPR must be guided by the risk of underlying serious pathology, and there are few available guidelines. This topic will review the evaluation of patients with BRBPR based on age and other risk factors for more serious etiologies of minimal BRBPR. The approach to patients who pass larger amounts of blood or blood intermixed with stool is discussed elsewhere