Approach to hematochezia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 70-year-old woman is brought to the emergency department by EMS after a syncopal episode at home. She has been experiencing bright red blood per rectum for the past 24 hours. Temperature is 99.4°F, blood pressure is 80/48 mmHg, pulse is 130/minute, respiratory rate is 22/minute, and oxygen saturation is 94% on room air. While in transport, 2 large bore IVs were placed and she was given 1-liter normal saline bolus. On arrival at the emergency department, her blood pressure is 95/50 mmHg and heart rate is 120/minute. She is given another liter of normal saline. She has a medical history of diabetes mellitus type 2, hypertension, and hyperlipidemia. She has not had any previous colonoscopies. Physical examination reveals a pale woman who appears ill. She does not have abdominal tenderness to palpation. Rectal examination reveals bright red blood in the rectal vault. Hemoglobin is 8.5. Her blood pressure responds well to IV fluid resuscitation. Which of the following diagnostic studies should be performed next?  

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