337) A 62 year old man with past medical history of hypertension is admitted with bright red bleeding per rectum. He has no pain. He had four other episodes of bright red bleeding in the past one year. All the episodes were painless. He refused colonoscopy at that time. He denies any constipation or diarrhea. He reports no weight-loss. He denies any chest pain or shortness of breath. On physical examination, his vitals are stable. Cardiovascular examination reveals a 4/6 early peaking systolic murmur that radiates to his neck and the carotids. Reminder of his exam is benign. The patient agrees for endoscopic evaluation and is scheduled for Colonoscopy. Which of the following is most likely to be diagnosed on Colonoscopy?
A) Ischemic Colitis
B) Colon cancer
C) Diverticulosis
D) Arterio-Venous Malformations
E) Internal Hemorrhoids
Filed under: Uncategorized, USMLE Test Prep | Tagged: Archer cardiology, ARCHER GASTROENTEROLOGY, USMLE STEP 3 CARDIOLOGY, USMLE STEP 3 GASTROENEROLOGY |
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D
D) Arterio-Venous Malformations
Heyde Syndrome – Aortic stenosis associated with gi bleed due to av malformation
aortic stenosis associated with angiodysplasia
E, painless bright red bleeding per rectum in episodes. the systolic murmur (of aortic stenosis) is a distraction
option B,colon cancer
D
D
DD
D rectal bleeding from from arteriole-venous malformation which is associated with aortic stenosis
E
thanks shru, i didnt know about Heyde syndrome,my knowledge increases because of you.
offcourse its D.
D: I don’t know Heyde’s syndrome before. thank you very much Dr RED. Your questions are very interesting.