Positive occult blood refers to the detection of blood that cannot be visually identified in the stool or other bodily fluids. It is often detected using tests such as the guaiac-based fecal occult blood test (gFOBT) or the fecal immunochemical test (FIT). The detection of occult blood can indicate the presence of underlying conditions such as gastrointestinal bleeding or colorectal cancer. The International Classification of Diseases, Tenth Revision (ICD-10) provides specific codes for the documentation of positive occult blood. The ICD-10 code for positive occult blood in feces is R19.5, while for other sites, such as blood or urine, different codes may be used depending on the specific location or cause.
Our visual system works like a “comparative computer”. In fact, we never see colors in isolation, as the appearance of any color is affected by the colors surrounding it. So, under certain conditions, colors that are identical may appear different, while colors that are different may look the same. In our visual system there is a mechanism that enhances the contrast of the outline of an object relative to its background: it is called “lateral inhibition”.
Thus, even small differences in brightness between adjacent zones, or objects, are deliberately increased by our visual system and the brain to better distinguish them. But something strange happens when the brightness boundaries of the color zones are concealed: the cues the brain needs to trigger the lateral inhibition no longer exist and consequently we become blind to variations in color brightness, as shown in the animated gif.
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5, while for other sites, such as blood or urine, different codes may be used depending on the specific location or cause. The significance of a positive occult blood test result varies depending on the context and the individual's medical history. In some cases, it may indicate the need for further diagnostic tests to identify the source of the bleeding and determine the appropriate treatment.
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Regular screening for occult blood can be important in detecting gastrointestinal bleeding or colorectal cancer early, when treatment is often more effective. It is recommended that individuals aged 50 and older undergo regular screening for colorectal cancer, often including an occult blood test, as part of their routine healthcare. Positive occult blood findings should always be interpreted in conjunction with other clinical information and follow-up tests, as false-positive and false-negative results can occasionally occur. Healthcare providers play a crucial role in assessing the significance of positive occult blood results and guiding the appropriate next steps in diagnosis and treatment..
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