GERIATRICS EOR MALIGNANCIES *Be sure to see surgery questions for skin & breasts Flashcards
When do we start colonoscopies?
Age 40
If a colonoscopy is normal – when is the next one?
10 years
If a colonoscopy comes back with a polyp that is benign – when is the next one?
5 years
If a colonscopy comes back with a premalignant polyp – when is the next one?
3 years
If a colonoscopy comes back with lots of polyps or evidence of dysplasia – when is the next one?
1 year
What would make a premalignant polyp?
sessile, no stalk, large, or villous
What characteristics make a benign polyp?
pedunculated, small, tubular
If a postmenopausal woman or man is found to have iron deficiency anemia – what is it until proven otherwise?
Colon cancer!!!
When do we need to consider a colonscopy for a pt?
change in caliber of stools, alternating bowel habits, or significant weight loss
IF a pt has painless white oral lesion that cannot be rubbed or scraped off – dx?
oral leukoplakia
Oral leukoplakia is what type of cancerous lesion?
Squamous cell
If you see hemoptysis it is what until proven otherwise?
Lung Cancer!
What is the US Preventative Task Force Recommendations for lung CA?
In an adult between ages 55-80 who have a 30 pack-year hx & currently smoke or quit within the past 15 years = low dose CT
*Stop screening once person has not smoked x15 years
If a patient describes chest pressure what is something you should always keep on your differential (besides MI)?
Lung CA
Chest wall pain, dysphagia, hoarseness, and pleural effusion are all examples of what?
lung CA
