CR Flashcards
For average risk patient
Start CRC screening at age […]
45-50
CRC screening options
(For average risk person)
FOBT annually
Sigmoidoscopy every 5 years
Colonoscopy every 10 years
For CRC high risk screening
The modality of choice is […] every […] years
Colonoscopy every 5 years
Who is considered high risk group for CRC?
+ve Family history:
🔹 First degree relative
🔹 Age of diagnosis <60
Patient underwent sigmoidoscopy for polyp resection which found to be Tubular adenoma.
How to follow ?
Colonoscopy after 3 years
Which type of polyp with highest risk for cancer?
A. Villous
B. Tubular
C. Tubulovillous
Villous
are villains
To prevent CRC in patient with benign adenoma :
Life style modification
Stop smoking & exercise
🚬🏃🏻♂️
Case clear for CRC what are the management steps?
- Colonoscopy
- CT scan for staging (chest & abd)
- Treatment ( +neoadjuvant chemoradiation)
🚨 if signs of Obstruction » Surgical
Case clear for CRC with obstruction what are the management steps?
Surgical management
(Sigmoidectomy)
- Melena (Bleeding)
- Anemia “IDA”
- weight loss
Are signs of […] cancer
Right-sided CRC
(Ascending & cecum)
- Obstruction (constipation)
- colicky abd pain
- Hematochezia (streaks of blood in 💩)
Are signs of […] cancer
Left-sided CRC
(Descending & Rectum)
In rectal adenocarcinoma, […] is a must regardless of the surgical procedure
Neoadjuvent chemoradiation
Ogilvie syndrome
Is: […]
Tx: […]
Dilation of colon lumen (>10 cm) without mechanical obstruction
Management: Decompression colonoscopy with rectal tube
Absolute constipation &
🩻 inverted U sign
Dx: […]
Sigmoid volvulus
K/c of IHD or AF
Diffuse abdominal pain &
🩻dilated small bowel with thickened wall
Dx: […]
Mesenteric ischemia
