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Case 102: Blood and mucus per rectum

A 47 year old man presents with 6 weeks of pregressive bloody diarrhoea and passage of mucus per rectum. He now has left sided abdominal pain and a temperature of 37.7C

1. What does the xray show?

2. How would you manage the problem in the emergency department?

3. What features would you look for at colonoscopy to make a diagnosis?