Clinical- Remaining Stuff Flashcards
These are acquired heriations of mucosa and submucosa through the muscular layers of the colon.
Diverticula
This is the mere presence of uniflammed diverticula on the colon
Diverticulosis
This is the inflammation of 1 or more diverticula.
Diverticulitis
What are the Sx to diverticulitis?
pain in the LLQ, fever, abd distention, constipation or diarrhea.
What do u find on clinical exam for diverticulitis?
possible palpable tender mass, leukocytosis
What shows on histological exam of hyperplastic polyps?
metaplastic w/completely differentiated glandular elements.
What shows on histological exam of hamartomatous polyps?
mixture of normal tissues
What shows on histological exam of inflammatory polyps?
epithelial inflammatory rxn
Are hyperplastic, hamartomatous, and inflammatory polyps benign or malignant?
Benign
What are the 3 types of adenomatous polyps that can result from failed differentiation of glandular elements?
tubular, mixed, and villous
What size of an adenomatous polyp that puts u at a higher risk for malignancy?
> 1cm
What properties of an adenomatous polyp that puts u at a higher risk for malignancy?
presence of villous elements.
If you see an adenomatous polyp, what test should u do next?
Colonoscopy
What is the inheritance of hereditary nonpolyposis colorectal cancer (HNPCC)?
AD
What % of all colon cancers are from HNPCC?
5%
Which degree of relatives is a higher risk of developing cancer for HNPCC pt’s?
1st degree relatives
What diets have an increased risk of colon cancer?
high fat, carbroiled meat/fish, fried food.
What are the Sx of colon cancer if it’s in the proximal colon?
mass, ademia, abdominal discomfort
MAD
What are the Sx of colon cancer if it’s in the left colon?
change in bowel habits, obstructive Sx, rectal bleeding
COB
How long after the surgery should u do a postop colonoscopy for the colorectal cancer pt?
6-12 mo.
What are the 2 components of the chemo for the colon cancer Tx?
5-fluorouracil + levamisole
What are the 2 components of the chemo for the rectal cancer Tx?
radiotherapy + 5-FU
How often should u screen for colorectal cancer after the age of 50?
every 10 years.
