Quite New

Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Our patient has a history of HIV and ulcerative colitis, the latter of which was treated with subtotal colectomy with ileostomy six months prior to presentation.\n\nShe now presents with bleeding per rectum for two weeks. The colostomy site appears to be healthy, but the digital rectal examination (DRE) is positive for fresh blood in the anal canal.\n\nThis lower gastrointestinal (GI) bleeding of new-onset could possibly be due to recurrence of ulcerative colitis in the remaining bowel segment. Another possibility is diversion colitis, which is an inflammatory process that can occur in the remaining recto-colon following fecal diversion.\n\nWhile clinically less likely, it should also be appreciated that new-onset colorectal carcinoma can present"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.