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
Increasing colorectal cancer screening
Screening rates increased from 2000 to 2015 but continue to lag behind goal levels.
https://immattersacp.org/archives/2019/01/increasing-colorectal-cancer-screening.htm
1 Jan 2019
MKSAP Quiz: 2-week history of bloody diarrhea
A 24-year-old man is evaluated in the emergency department for 2 weeks of worsening bloody diarrhea with up to 10 bloody bowel movements per day. He also reports increasing lower abdominal pain and distension and decreased stool frequency over the past day. He has had extensive ulcerative colitis for 5 years. After physical examination, laboratory studies, and abdominal radiograph, what is the appropriate next step in management?
https://immattersacp.org/archives/2019/01/mksap-quiz-2-week-history-of-bloody-diarrhea.htm
1 Jan 2019
Uptake of CRC screening leaves room for improvement
This issue also covers IMGs and immigration policy, along with conference coverage on gastroenterology and the art of diagnosis.
https://immattersacp.org/archives/2019/01/uptake-of-crc-screening-leaves-room-for-improvement.htm
1 Jan 2019
MKSAP Quiz: Fatigue, intermittent rectal bleeding, abdominal pain
A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since her symptoms started. She has no personal or family history of colon cancer or other cancers. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/11/13/3.htm
13 Nov 2018
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
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
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
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
Research challenges diverticulitis dogma
The past decade has seen research on diverticulitis that may help physicians take better care of patients.
https://immattersacp.org/archives/2018/07/research-challenges-diverticulitis-dogma.htm
1 Jul 2018