the Test
Colon cancer - 🧠 ANSWER ✔✔- Majority >40yoa
- Familial adenomatous polyposis
- Abdominal pain, change in BMs, rectal bleeding
- Palpable rectal mass
- Colonoscopy & biopsy, stage w/ CT
- Screen at 50
- Colonoscopy every 10 years
- Sigmoidoscopy every 5 years
- FOBT 3x every year
, - 1st-degree relative w/ colon cancer: start screening art 40 or 10 years
younger than original relative diagnosis. Colonoscopy every 5 years
Anal fissure - 🧠 ANSWER ✔✔- Linear tear in the lining of the anal canal
- Sharp painful BMs w/ rectal bleeding
- d/t hard stools & pregnancy
- Fiber, sitz baths, and stool softeners
- Topical NTG if no improvement
Gastritis/PUD - 🧠 ANSWER ✔✔- NSAIDs, H. pylori, stress, alcohol
- Duodenal improve w/ meal
- Gastric worsens w/ meal
- Coffee ground emesis
- Diagnosed w/ endoscopy
- Urea breath test
- PPI, clarithromycin, amoxicillin, metronidazole
Gastroenteritis - 🧠 ANSWER ✔✔
Acute pancreatitis - 🧠 ANSWER ✔✔- MCC is cholelithiasis or alcohol