melena workup

Welcome! MDHero is a software that generates questions to ask, makes a diagnosis, explains its clinical reasoning and generates a write up complete with assessment and plan.

Pertinent positives

Enter your symptom(s) below separated by commas, I will take the first one as the chief complaint.

Age: male female

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Differential diagnoses

Based on the symptoms so far, my differential includes: colorectal cancer, metastatic GI cancer, ischemic bowel, diverticulosis, GI malignancy, crohns disease, meckel diverticulum
There are also 7 diseases that can present with a chief complaint of melena: PUD, stomach cancer, GERD, mallory weiss tear, esophagitis, gastritis, esophageal varices

Clinical suspicians

Based on the symptoms so far, I suspect 1 conditions:

colorectal cancer because of melena, blood in stool

What to do next

- For me to arrive at a diagnosis, there are still 39 pieces of clinical information I need to know. See below. If you spent 2 seconds answering each one, it should take you 1 minutes. Click the 'Think' button afterward so I can process the information.

- When I have no more questions, click to Generate Write up / SOAP note / oral report

colorectal cancer:
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colonoscopy
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HPI and Review of Systems

Default all to no: Check here to default everything to 'no' unless you explicitly select a symptom.

weight lossno : pertinent for crohns disease, GI malignancy, metastatic GI cancer, PUD, stomach cancer
hematemesisno : pertinent for esophageal varices, mallory weiss tear, PUD
LUQ painno : pertinent for gastritis, PUD, stomach cancer
elderlyno : pertinent for diverticulosis, metastatic GI cancer, stomach cancer
chronicno : pertinent for crohns disease, meckel diverticulum
diarrheano : pertinent for crohns disease, GI malignancy
epigastric painno : pertinent for PUD, stomach cancer
dysphagiano : pertinent for GI malignancy, stomach cancer
melenemesisno : pertinent for GI malignancy, PUD
BRBPRno : pertinent for diverticulosis, meckel diverticulum
abdominal painno feverno : pertinent for crohns disease
GERDno eating alleviates painno : pertinent for PUD
vomitingno retchingno : pertinent for mallory weiss tear
epigastric pain worse lying downno acid refluxno : pertinent for GERD
alcohol abuseno PMH cirrhosisno : pertinent for esophageal varices
bowel habit changesno FH colorectal cancerno PMH colorectal cancerno virchow lymphadenopathyno RUQ painno : pertinent for metastatic GI cancer
steatorrheano hematocheziano : pertinent for GI malignancy
LLQ painno : pertinent for diverticulosis
odynophagiano : pertinent for esophagitis

Physical Exam

oral ulcerno skin ulcerno uveitisno erythema nodosumno : pertinent for crohns disease
toxic appearanceno rebound tendernessno : pertinent for ischemic bowel
abdominal massno : pertinent for metastatic GI cancer
epigastric massno LUQ massno : pertinent for stomach cancer
LUQ tendernessno : pertinent for gastritis

Common Chief Complaints

The app currently support the following chief complaints. Click on one to begin.

General: fatigue | weight loss | fever | edema | pruritus
Neuro: AMS | headache | syncope | vertigo | dizziness
Skin: edema | pruritus | flushing | erythema | cyanosis | petechiae | purpura
- Rashes: erythema | urticaria | maculopapular rash | vesiculobullous rash | petechiae | purpura | rash
HEENT: headache | earache | vertigo | dizziness
Cardio:chest pain
Pulm: cough | hemoptysis | dyspnea
GI:
- upper GI: dysphagia | odynophagia | hematemesis
- lower GI: diarrhea | constipation | melena | blood in stool | BRBPR
- abdominal pains: epigastric pain | LUQ pain | RUQ pain | RLQ pain | LLQ pain | suprapubic pain | periumbilical pain | diffuse abdominal pain
Renal: dysuria | hematuria | suprapubic pain

Clear all and start over