Approach to the Patient With Hematochezia

Mayo Clin Proc. 2017 May;92(5):797-804. doi: 10.1016/j.mayocp.2016.12.021.

Abstract

The evaluation of the patient with hematochezia can be complex because of the broad differential diagnosis and the number of management strategies available. In this article, a simplified approach to the history and physical examination is presented, with management illustrated in a case-oriented manner.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Pain* / diagnosis
  • Abdominal Pain* / etiology
  • Adult
  • Aged
  • Aged, 80 and over
  • Alcohol-Related Disorders / complications
  • Alcohol-Related Disorders / diagnosis
  • Alcohol-Related Disorders / therapy
  • Arteriovenous Malformations / complications
  • Arteriovenous Malformations / diagnosis
  • Carcinoid Tumor / complications
  • Carcinoid Tumor / diagnosis
  • Carcinoid Tumor / surgery
  • Colon / blood supply
  • Colonoscopy* / methods
  • Crohn Disease / complications
  • Crohn Disease / diagnosis
  • Diagnosis, Differential
  • Digital Rectal Examination* / methods
  • Diverticulosis, Colonic / complications
  • Diverticulosis, Colonic / diagnosis
  • Diverticulosis, Colonic / therapy
  • Female
  • Fissure in Ano / complications
  • Fissure in Ano / diagnosis
  • Fissure in Ano / therapy
  • Gastrointestinal Hemorrhage* / diagnosis
  • Gastrointestinal Hemorrhage* / etiology
  • Gastrointestinal Hemorrhage* / therapy
  • Humans
  • Ischemia / complications
  • Ischemia / diagnosis
  • Ischemia / therapy
  • Male
  • Meckel Diverticulum / complications
  • Meckel Diverticulum / diagnosis
  • Medical History Taking / methods
  • Middle Aged
  • Pelvic Pain* / diagnosis
  • Pelvic Pain* / etiology
  • Physical Examination / methods*