Melena is commonly misidentified by young resident physicians.
The magnitude of this inaccurate physical exam has not been quantified.
Precise identification of melena may have important diagnostic and therapeutic implications.
Recommended CitationWu, MD, MPH, Richard M.; Han, MD, Eugene; Dargan, MD, Andrew; Kelly, MD, Cecilia; and Conn, MD, MBA, Mitchell, "Accuracy of Melena Identification on Physical Exam in Post Graduate Training – Implications of Level of Training, Medical Specialty, Rectal Exam Concordance and Appropriateness of Therapy" (2015). Division of Gastroenterology and Hepatology Faculty Papers. Paper 29.