Colorectal Neoplasm Flashcards

1
Q

what should a person do if they have one polyp

A

get checked out 3 to 5 years

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2
Q

What should a person do if they have NO polyps

A

Get checked out every 10 years

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3
Q

What are the different forms of polyps

A

Sessile - lack of stalk

Pedunculate - with a stalk

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4
Q

What are the different classifications of polyps

A

non- neoplastic - Hyerplastic
Hamartoma - Juvenile Polyps
PJ syndrome
Neoplastic - Adenoma (villous)

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5
Q

What is FAP

A

it is Familial Adenomatous Polyposis. it is when a person develops polyps early in life. it is a lot of polyps with the risk of getting cancer being 100. the person has to get screened from age 10 every 1 to 2 years

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6
Q

What are the different variants of FAP

A

Gardner’s Syndrome

Turbot syndrome

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7
Q

What is Lynch Syndrome

A

it is a disorder where there is a DNA mismatch repair gene that leads the person to having a higher risk for getting cancer but no polyps

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8
Q

What is the criteria for Lynch syndrome

A

must affect 3 relatives with 1 being 1st degree relative and 2 more generations

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9
Q

What is Peutz-Jegher Syndrome

A

it is a benign hamatomatous disorder wither there is high pigmentation in the lips, feet and hands

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10
Q

What is Colorectal Carcinoma

A

it is 3rd common cancer and it takes the form of adenocarcinoma.

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11
Q

What are the stats of colorectal carcinoma

A

over the age of 50
genetics
diet
IBG

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12
Q

What are the manifestations of Colorectal carcinoma

A

Bleeding
Abdominal Pain
changes in bowel habit
Weakness - Iron deficiency

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13
Q

What happens when the Fe is low

A

There is a need for the fecal occult test and you may have the tumor marker of CEA

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14
Q

What are 2 important factors with colorectal carcinoma

A

The depth of the invasion and the lymph node metastases

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15
Q

What are the 2 types of appendix issues you can have

A

Acute appendicitis

Carcinoid tumor

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16
Q

What is the pathogenesis of appendicitis

A

Inflammation/swelling
Bacterial growth
Obstruction

17
Q

What is an important sign of appendicitis

A

air in the diaphragm

18
Q

What are the manifestations of the appendicitis

A

fever
abdominal pain
Nausea and vomiting

19
Q

What is the lab test done on appendicitis

A

leukocytosis

20
Q

What are the physical exams of the appendicitis

A

McBurneys
Rovsing
Psosa
Obturator

21
Q

What is spontaneous bacteria Peritonitis

A

E. coli infection of abdominal cavity

22
Q

What is Anal Fissure

A

It is a tear in the anal canal that is due to the spasms and not being able to heal