Assessing the Genitalia and Rectum

  Case 1: Rectal BleedingA 62-year-old male construction worker reports to your clinic after experiencing rectal bleeding for over 1 month. He has noticed small amounts of blood after every bowel movement. He had a colonoscopy 2 years ago with normal results. The patient has no fever, chills, dysuria, abnormal urinary frequency, or abdominal pain. The patient reports occasional rectal itching and pain. He states he has no noticeable sores on his rectal area and no family history of colorectal cancer. Consider what history would be necessary to collect from the patient in the case study you were assigned.• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?• Identify at least five possible differential diagnosis that may be considered in a differential diagnosis for the patient.