perforated appendicitis clinical assessment, 1293 –1295 clinical recognition, 1293 management, 1295 treatment goals, 1293 rectal bleeding anorectal manometry, 1305 causes of, 1305 f colonoscopy, 1306 fissures, 1305 juvenile polyps, 1305 –1306 , 1306 f Meckel diverticulum, 1306 , 1306 f treatment goals, 1305 Abdominal, gastrointestinal, and genitourinary emergencies abdominal adrenal, 36e hepatic, 36e pelvic, 36e renal, 35e treatment, 36e abnormal stool acholic stool, 35e allergic enteropathy, 35e hematochezia and melena, 35e treatment, 35e genitourinary anomalies ambiguous genitalia, 36e –37e circumcision, 36e treatment, 36e vaginal discharge, 36e hernias, 32e –34e intestinal obstruction, 30e adhesions, 32e anorectal malformations, 32e gastrointestinal duplications, 31e Hirschsprung disease, 31e –32e hypertrophic pyloric stenosis, 31e