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1. Summarize the history.
 
 
2. What is the differential diagnosis for bleeding per rectum?
 
 
3. In general, why might an endoscopy not find the source of bleeding?
 
 
4. What causes of death does the history suggest? Which is most likely?
 
 
5. Summarize the physical exam findings. Which findings are remote? Which are recent?
 
 
6. What clinical conditions might you suspect based on the body habitus?