Logical W/U ?

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Logical W/U ?

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icarus
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08/08/07 - 12:33 PM

If we had a b l o o d in stool case ,do we order with the rectal exam ,occult blood test too ?!?!?!?!?!

Already we can see the b l o o d grossly ... so does it make sense ... this is how i found it in the FA

Any help guys ?

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icarus
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08/08/07 - 09:18 PM

Where are u lazy CS takers ?!?!!? grin

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icarus
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08/09/07 - 01:49 PM

Ummm ... maybe i didnt explain myself well ... okay , i will give it another shot ..

We have a case of Bl ood in stool ,do we put in the work/up " check for occult blood " ... we already have been told that the patient (sees) the b lood in his stool ,so would it make any sense to check for occult bl ood as well?? in the first aid they have mentioned Occult B as a part of the WU for a patient with b in stool ... it didnt make sense to me ,. can u elaborate on that

Best of luck for everyone

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damselMD
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08/12/07 - 08:39 PM

if the patient comes in for occult blood, i was still add rectal exam and occult blood test in the workup. you would want a documentation on the record.

icarus
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08/12/07 - 08:48 PM

But the patient tells u ( There is grossly observed blood in stool ) would u still order OCCULT blood ?!??! whats the point in ur opinion ?

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dermatology
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08/17/07 - 09:24 AM

well i wud order stool exam for occult blood along with rectal examination .. occult bloood can telll us if there is any bleeding in upper GIT ....

icarus
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08/17/07 - 09:54 AM

I am not sure about that dermatologoy , occutl blood indicates malignant neoplasm in the colon as i know , and u already (see) blood ... so why order (hidden) blood

no1 seems to be able to answer it ... i will just let it go lool

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Squalo
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09/11/07 - 07:02 AM

icarus wrote:
I am not sure about that dermatologoy , occutl blood indicates malignant neoplasm in the colon as i know , and u already (see) blood ... so why order (hidden) blood

no1 seems to be able to answer it ... i will just let it go lool

Here's the thing icarus:
even if the patient tells you that there's FRANK blood in the stool , YOU still have NOT seen it .. and the next stool the pt passes may or may not contain blood .. SO , we order a Rectal exam with Occult blood anyway !!
Hope ur satfisfied with that answer grin

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icarus
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09/11/07 - 05:51 PM

Exactly ,and certain drugs may give feces a red color ... thanks buddy

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Squalo
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09/12/07 - 09:51 PM

#10

icarus wrote:
Exactly ,and certain drugs may give feces a red color ... thanks buddy

Your welcom cool

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