Bloody Stool


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A two-month-old baby girl born full-term via normal delivery is brought in by her mother for bloody stool today.  The girl has been eating, sleeping, and eliminating well.  The child is bottle-fed, and appears to tolerate her feeds well.  She has been gaining weight appropriately. 

The infant has no history of fever, vomiting, or diarrhea.  In the ED, you see a well appearing baby girl with normal vital signs and a normal head-to-toe examination; the child’s stool is brown and guaiac-positive.  There are no red flags for abuse on history and physical examination.

Which of the following is the most likely diagnosis?

    A.    Meckel’s diverticulum
    B.    Intussusception
    C.    Hemolytic-uremic syndrome
    D.    Enterocolitis

In the meantime, a quote -- 

"Men worry over a great number of diseases, while doctors worry over a scarcity of effective remedies."  

History of Chinese Medicine, Book 1, Ch 5.

-- Pien Chiao (c. 225 B.C.)


02/05/2013 2:52pm

probably A, meckels bc the child is having painless bleeding but is otherwise HD stable.


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