ppropriate next step in management is to - stefan78

[ArchivalUser]

A 61-year-old woman comes to the emergency department because she is "lightheaded and dizzy" after having 2 bowel movements over the past hour that consisted of bright red blood and no stool. She denies any abdominal pain or nausea, but does recall having crampy abdominal discomfort after eating over the last several days. She tells you that she has a history of "benign polyps" that are resected endoscopically every other year in her gastroenterologist's office. Her last colonoscopy was 6 months ago and 3 hyperplastic polyps were removed. Her mother and father both passed away from complications due to colon cancer. Her temperature is 37.0 C (98.6 F), blood pressure is 100/70 mm Hg, and her pulse is 110/min. Her abdomen is non-tender and soft. There is no guarding or rebound tenderness present. There is fresh red blood in the rectum, but there are no palpable masses. Intravenous fluids are started. The most appropriate next step in management is to

A. order a barium enema


B. order a CT scan of the abdomen


C. order a nuclear bleeding scan of the colon


D. perform flexible sigmoidoscopy


E. perform upper gastrointestinal endoscopy

[ArchivalUser]

first flexible sigmoidoscopy

[ArchivalUser]

D is my answer

[ArchivalUser]

D.