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CAUSES OF BLEEDING PER RECTUM

NATASHA NADEEM (112)


CAUSES
MILD CAUSES SERIOUS CAUSES
 Constipation  Inflammatory Bowel  Ischemic Colitis
 Anal fissure Disease  Angiodysplasia
 Proctitis
 Hemorrhoids  Solitary rectal ulcer
 Polyps
 Diverticulosis syndrome (Rectal
 Rectal prolapse Ulcer)
 Pseudomembranous
 Rectal Trauma
colitis
DIAGNOSIS FOR CBL: COLORECTAL CARCINOMA

 Increased defecation frequency: irritation due to rectal mass


 Small quantity of stool: Obstruction
 10kg weight loss: significant symptom for carcinoma
 Perianal exam normal: hemorrhoids ruled out
 Per rectal examination: finger stained with altered blood
 Sigmoidoscopy: Fungating mass 15 cm from anal verge
(rectosigmoid junction is at 15 – 17 cm from anal verge)
 CT Scan: rectal mass with enlarged paracolic and para aortic
lymph nodes

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