Sandbox spinalcord

Resident Survival Guide

Sandbox spinalcord
ICD-10	K92.2
ICD-9	578.9

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Lower gastrointestinal bleeding, commonly abbreviated LGIB, refers to any form of bleeding in the lower gastrointestinal tract.

Causes

• Coagulopathy - specifically a bleeding diathesis
• Colitis
  • ischaemic colitis
  • ulcerative colitis
  • infectious colitis
    • E. coli O157:H7
    • Shigella
    • C. difficile
    • Campylobacter jejuni
• Hemorrhoids
• Angiodysplasia
• Neoplasm - cancer
• Diverticular disease - diverticulosis, diverticulitis

Diagnosis

The following suggest an LGIB:

• Melena and a negative oesophagogastroduodenoscopy
• Hematochezia
• Fecal occult blood

The following may suggest an LGIB:

• Anemia

Related Chapter

• Fecal occult blood
• Blood in stool
• Rectal bleeding
• Upper gastrointestinal bleeding

Blood in stools

Abdominal pain

Yes

No

Fever

Rectal pain

Yes

No

H/O of constipation

H/O of constipation

No

Yes

No

Yes

Weightloss

Diverticulosis

Hemodynamic status

Diverticulitis

No

Yes

Stable

Unstable

Polyps

Colon cancer

Yes

Stool culture

Ischemic colitis

No

Anal fissure External Hemmrhoids

Positive

Negative

Weight Loss

Infectious colitis

Inflammatory bowel disease

Yes

No

Rectal cancer Colon cancer

Angiodysplasia Polyps

External links

• Template:MedlinePlusEncylopedia

Template:WikiDoc Sources