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Who to believe- Goljan or BRS Path?

Discussion in 'Medical Students - MD' started by WhoisJohnGalt, May 12, 2007.

  1. WhoisJohnGalt

    WhoisJohnGalt NYC Psychiatrist Physician 7+ Year Member

    May 27, 2005
    From Goljan p. 354: "Most common cause of hematochezia refers to diverticulOSIS not diverticulITIS, scarring of the vessel in diverticulitis prevents bleeding."

    From BRS Path p. 228: "DiverticulOSIS... most often asymptomatic or associated with vague discomfort.", "DiverticulITIS... Bright red bleeding is frequent"

    Can someone clear this up for me definitively? Thanks!
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  3. the negative 1

    the negative 1 Bovie to "war crimes" please 10+ Year Member

    Aug 14, 2004
    Charm City
    I believe they're both correct, but BRS path not entirely. It is true that diverticul-OSIS is typically an asymptomatic condition, yet also a leading cause of hematochezia. With diverticul-ITIS, patients can still have occult blood in their stool, but it happens in less than a third of patients because of the scarring as Goljan explains.

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