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{ "pk": 1037, "title": "The Case of the Lime-green Stool: A Case Report and Review of Occult Blood Testing in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n Food dyes mimicking gastrointestinal (GI) hemorrhage have been described in literature. However, reports of food additives causing melanotic stools and falsely positive fecal occult blood tests (FOBT) are uncommon in literature.\nCase Report:\n We present a case of a 93-year-old with FOBT positive melanotic stool, felt to be falsely positive due to food additives.\nConclusion:\n Evaluation for GI bleeding accounts for 0.3% of yearly visits to the emergency department (ED).1 While FOBT is commonly used, its clinical validity in the ED is not supported by guidelines. We showcase the limitations of the FOBT and review the causes of false positive FOBT.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Melena" }, { "word": "food coloring" }, { "word": "fecal occult blood test" }, { "word": "gastrointestinal hemorrhage" }, { "word": "Glasgow-Blatchford Score" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8tx583pb", "frozenauthors": [ { "first_name": "James", "middle_name": "D.", "last_name": "Salisbury", "name_suffix": "", "institution": "Mercy Health, Department of Emergency Medicine, Muskegon, Michigan", "department": "None" }, { "first_name": "Jennifer", "middle_name": "G.", "last_name": "Goodrich", "name_suffix": "", "institution": "Mercy Health, Department of Emergency Medicine, Muskegon, Michigan", "department": "None" }, { "first_name": "Nicholas", "middle_name": "M.", "last_name": "McManus", "name_suffix": "", "institution": "Mercy Health, Department of Emergency Medicine, Muskegon, Michigan", "department": "None" }, { "first_name": "Ryan", "middle_name": "P.", "last_name": "Offman", "name_suffix": "", "institution": "Mercy Health, Department of Emergency Medicine, Muskegon, Michigan", "department": "None" } ], "date_submitted": "2021-05-25T19:42:42-04:00", "date_accepted": "2021-05-25T19:42:42-04:00", "date_published": "2021-05-25T19:43:36-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1037/galley/783/download/" } ] }