Clinical Case Database / Category: Prescribing
Antibiotics and bowel preparation in colorectal surgery
HP Priyantha Siriwardana, Gordon N Buchanan
Foundation Years Journal, volume 2, issue 7, p.327 (123Doc Education, London, September 2008)
You are asked to see a 68-year-old gentleman with a history of an episode of heavy fresh bleeding per rectum and change in bowel habit to constipation. He is on aspirin and clopidogrel following his coronary stenting a year ago. He is also known to have diabetes mellitus type 2 on metformin and gliclazide. He is apyrexial; pulse rate is 96/minute and blood pressure is 124/71. There is mild tenderness in the left iliac fossa. Digital rectal examination and rigid sigmoidoscopy had revealed altered blood in the rectum. You note that his recent haemoglobin is 7.2 g/dl; white cell count is 13.2 and INR is 1.2.
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HP Priyantha Siriwardana (Corresponding author)
Department of Surgery
East Surrey Hospital
Redhill RH1 5RH
Gordon N Buchanan
Department of Gastrointestinal Surgery
Charing Cross Hospital
Fulham palace Road
London W6 8RF
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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