Search results for "Colonoscopy"
MKSAP Quiz: 2 weeks of painful lumps on legs
A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where she has lived her whole life. Following a physical exam, negative pregnancy test, and other lab studies, what test should be done next?
https://immattersacp.org/weekly/archives/2019/01/08/3.htm
8 Jan 2019
Mailing fecal immunochemical tests to patients due for colorectal cancer screening increased screening uptake
Compared with usual care clinics, intervention clinics had a significantly higher adjusted clinic-level proportion of participants who completed a mailed fecal immunochemical test, and more participants at intervention clinics than usual care clinics completed any colorectal cancer screening.
https://immattersacp.org/weekly/archives/2018/08/14/4.htm
14 Aug 2018
Tailored thresholds for FIT may increase colorectal cancer detection
Rates of cancer detection and the number of positive test results per cancer case detected varied significantly by age and sex, which suggests that modifying positivity thresholds by subgroups might optimize screening program performance.
https://immattersacp.org/weekly/archives/2018/09/18/4.htm
18 Sep 2018
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
Start screening for colorectal cancer at age 50 years, ACP suggests
An update of ACP's 2019 guidance statement on the topic suggests that clinicians start screening for colorectal cancer in asymptomatic average-risk adults at age 50 years and consider not screening those between the ages of 45 and 49 years.
https://immattersacp.org/weekly/archives/2023/08/01/1.htm
1 Aug 2023
MKSAP Quiz: 2-month history of diarrhea
A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/03/3.htm
3 Jul 2018
Advocacy is a marathon that mimics our patient encounters
We do advocacy work on a daily basis when we see patients, and we have to approach our interactions with legislators in a similar way.
https://immattersacp.org/archives/2022/06/advocacy-is-a-marathon-that-mimics-our-patient-encounters.htm
1 Jun 2022
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
Preventive care still on during COVID-19
COVID-19 may foster innovation in primary care as physicians describe various strategies to reconnect with patients, such as leveraging telemedicine visits to also explain the practice's coronavirus-related safety protocols, or systematically reviewing their panels to flag at-risk patients.
https://immattersacp.org/archives/2020/11/preventive-care-still-on-during-covid-19.htm
1 Nov 2020
FIT screening may not be the best method to find right-sided cancers, study indicates
An accompanying editorial noted that fecal immunochemical testing (FIT) may be less effective in the right colon in part because lesions grow more rapidly and bleed less.
https://immattersacp.org/weekly/archives/2018/10/02/5.htm
2 Oct 2018