Bowel cancer

Question 1

What is the red flag for Bowel cancer in > 40?

Answer 1

1. > 40 with ;
   - explained weight loss
   - abdominal pain

Question 2

What is the red flag for bowel cancer > 50 years?

Answer 2

1. > 50 with

- unexplained PR bleeding

Question 3

What is the red flag for bowel cancer > 60 years?

Answer 3

1. > 60 with
   - iron deficiency anaemia

• Changes in bowel habit
• Positive FOB

Question 4

What is the red flag for bowel cancer < 50 years?

Answer 4

1. For under 50s with
   - PR bleeding AND abdominal pain
   or
   - change in bowel habit
   or
   - weight loss
   or
   - Iron def anaemia

Question 5

Initial Ix / Examination for suspected Bowel cancer?

Answer 5

1. PR

2. FBC - anaemia

Question 6

What would you consider to identify a patient’s fitness for Ix? (4)

Answer 6

1. MI in the past 3 months
2. Fitness for bowel prep - moviprep at home
3. Mobility - capable of climbing on couch
4. Anticoagulants / anti platelets etc