NIME Next Batch PGI Quest in Delhi from 10 August to 20 August
B. Rectal polyp
C. Anal fissure
D. Ac. Appendicitis
E. None of the above
Painless lower GI bleed in a child is seen in
A. Meckle’s diverticulumB. Rectal polyp
C. Anal fissure
D. Ac. Appendicitis
E. None of the above
Ans. A. Meckle’s diverticulum ; (B) Rectal
polyp :
• Painless lower GI bleeding in a child is seen with :
— Rectal polyp
— Meckel’s diverticulum
—Piles secondary to vascular malformation
• Painless lower GI bleeding in a child is seen with :
— Rectal polyp
— Meckel’s diverticulum
—Piles secondary to vascular malformation
* In
Meckel’s diverticulum, haemorrhage occurs almost below 10 yrs and invariably
results from peptic ulceration of ileal mucosa adjacent to the meckel’s
diverticulum, lined with gastric mucosa. Diagnosis established by isotope
scanning with technetium-99.
•
Though piles occur in all ages but uncommon below 20 yrs.
• Bleeding due to anal fissure associated with severe pain.
• Bleeding due to anal fissure associated with severe pain.