Patient presents with 4 days increasing severe lower abdominal pain, rectal bleeding (“bright red w/ dark black clots.”) Denies fever, N/V. Appears in distress. PMH: Dx diverticulosis, 4y ago; angina, PTSD. Meds: gabapentin. Watch the ED examination.

What is your diagnosis?

A. Abscess

B. Appendicitis

C. Proctitis

D. Urinary tract infection

E. Urinary retention

F. Diverticulitis

G. Inflammatory bowel disease

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Severe Abdominal Pain, Rectal Bleeding in a 51-year-old Man

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