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Furthermore, a heme-negative rectal examination should not preclude proctoscopy and eventually rectal surgical exploration, given that physical exam was not sensitive for rectal injuries with only 25% of the patients with rectal injuries presenting with anal bleeding or blood on physical and rectal exam.
Rectal examination presents only 25% sensitivity and a heme-negative exam should not preclude proctoscopy and eventually rectal surgical exploration.
His stool was heme-negative. Laboratory results, including complete blood count, chemistries, and urinalysis were all negative.
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