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Today 20 , 1836 (2015)

they exist primarily to serve individualized clinical need and historically to address shortage conditions

Key Points Any patient with rectal bleeding required a flexible sigmoidoscopy or colonoscopy A patient with a large fresh rectal bleed who is haemodynamically unstable has an upper GI bleed until proven otherwise Acute bleeds may not initially show an anaemia in the full blood count Patients who are haemodynamically unstable need an emergency OGD and colonoscopy

If you are ever unsure if something is considered a healthy fat, check nutrition labels for unsaturated fats

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