Search results for "Colonoscopy"
Incidentaloma rates vary by imaging methods, malignancy
In a review of literature through August 2017, incidentalomas occurred in more than a third of cardiac MRIs and chest CTs, and CT colonoscopy revealed extracolonic incidentalomas 38% of the time.
https://immattersacp.org/weekly/archives/2018/06/26/1.htm
26 Jun 2018
Guideline recommends colorectal cancer screening starting at age 45
Adults should be screened with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability, the guideline said.
https://immattersacp.org/weekly/archives/2018/06/05/4.htm
5 Jun 2018
MKSAP Quiz: Intermittent rectal bleeding of 3 months' duration
A 46-year-old man is evaluated for intermittent rectal bleeding of 3 months' duration. Colonoscopy finds 12 polyps, and genetic testing reveals biallelic mutations in the MYH gene. What is the most cost-effective approach to determining if the patient's children have inherited MYH-associated polyposis?
https://immattersacp.org/weekly/archives/2018/04/03/3.htm
3 Apr 2018
Mobile app increased screening rates, colonoscopy decreased mortality risk, studies find
Patients who used an iPad app had twice the colorectal cancer screening rates as those in a control group.
https://immattersacp.org/weekly/archives/2018/03/13/1.htm
13 Mar 2018
Patients and priorities in prostate cancer care
Prostate cancer requires men to work through a multitude of treatment options, and if the patient ends up settling on active surveillance, then the internist's role is even more important moving forward.
https://immattersacp.org/archives/2017/11/patients-and-priorities-in-prostate-cancer-care.htm
1 Nov 2017
Abdominal wall pain as its own diagnosis
Internists can diagnose chronic abdominal wall pain with a simple physical exam and some savvy history taking, experts said, and reassure patients that their condition is not serious and may respond to treatment.
https://immattersacp.org/archives/2017/09/abdominal-wall-pain-as-its-own-diagnosis.htm
1 Sep 2017
MKSAP quiz: 2-month history of weight loss, abdominal cramping, loose stools
A 32-year-old woman is evaluated for a 2-month history of weight loss, abdominal cramping, and loose stools. Her stools are malodorous, but she has not noted any blood associated with her bowel movements. Although her appetite is good, she has lost 3.2 kg (7.0 lb). She has an 8-year history of diffuse cutaneous systemic sclerosis. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/08/15/3.htm
15 Aug 2017
MKSAP Quiz: follow-up evaluation for colon cancer
A 58-year-old man undergoes follow-up evaluation for cancer of the ascending colon diagnosed 3 weeks ago. Right hemicolectomy was performed. The pathology report showed a 4-cm primary adenocarcinoma with clear margins at resection, full-thickness penetration through the colonic wall into pericolonic fat, and 4/21 lymph nodes involved (stage III). Examination of the abdomen shows well-healed surgical scars but is otherwise normal. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/07/11/3.htm
11 Jul 2017
FIT may be useful for screening above-average-risk populations for colorectal cancer
A meta-analysis of 12 studies found that fecal immunochemical testing (FIT) may be a viable alternative screening strategy for patients at increased risk for colorectal cancer, but the authors and an accompanying editorial noted that the quality of the evidence was low.
https://immattersacp.org/weekly/archives/2017/06/27/4.htm
27 Jun 2017
High-value management of patients with GI symptoms
Gastroesophageal reflux disease, rectal bleeding, and chronic diarrhea can be controlled better by applying high-value care.
https://immattersacp.org/archives/2017/06/gastro.htm
1 Jun 2017