Approach to hematochezia (pediatrics) Quiz: Ace Your Exams
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A 5-year-old girl is brought to the clinic due to bright red blood noted on toilet paper over the past week. A caregiver reports blood streaks on the surface of formed stool. The child describes pain during defecation but otherwise appears healthy and active. There has been no vomiting, fever, or abdominal pain. There is no family history of bleeding disorders. Immunizations are up to date. Temperature is 36.9°C (98.4°F), blood pressure is 92/60 mmHg, heart rate is 94 beats per minute, respiratory rate is 18 breaths per minute, and oxygen saturation is 99% on room air. Abdominal examination reveals no tenderness, distension, or palpable masses. A chaperoned visual inspection of the anal region reveals a superficial tear in the anal mucosa and minimal bright red blood. Which of the following is most likely to be present in further history?
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