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A 58-year-old man was admitted to the hospital because of recurrent gastrointestinal bleeding.
The patient had been in stable health until 27 months earlier, when hematochezia developed. His physician found that he was depressed and anxious. Physical examination was negative; a stool specimen was negative for occult blood. The hematologic and blood-chemical laboratory findings throughout the patient's course are presented in Table 1 and Table 2, respectively. An upper gastrointestinal series showed only a small hiatus hernia. Examination with a fiberoptic colonoscope to the level of the cecum revealed no abnormality. Ferrous sulfate was prescribed.
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Clinical Diagnosis
Dr. Cheryl J. Bunker's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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