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Key Feature Specific Field Note

Assessing Competence in family medicine

Gastro-intestinal Bleed
In a stable patient with lower GI bleeding, look for serious causes (e.g., malignancy, inflammatory bowel disease, ulcer, varices) even when there is an apparent obvious cause for the bleeding (e.g., do not attribute a rectal bleed to hemorrhoids or to oral anticoagulation).
Clinical Reasoning Skills, Selectivity
Hypothesis generation
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