Clinical Case Database / Category: Prescribing

Antibiotics and bowel preparation in colorectal surgery

Publication details

HP Priyantha Siriwardana, Gordon N Buchanan
Foundation Years Journal, volume 2, issue 7, p.327 (123Doc Education, London, September 2008)

Abstract

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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Authors

HP Priyantha Siriwardana (Corresponding author)

Colorectal Unit
Department of Surgery
East Surrey Hospital
Canada Avenue
Redhill RH1 5RH
hppsir@hotmail.com

Gordon N Buchanan

Department of Gastrointestinal Surgery
Charing Cross Hospital
Fulham palace Road
Hammersmith
London W6 8RF
Gordon.Buchanan@imperial.nhs.uk

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