Search results for "Colonoscopy"
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
MKSAP Quiz: Management of metastatic cancer
A 68-year-old man is evaluated for early satiety and right upper quadrant discomfort. CT scan of the chest, abdomen, and pelvis shows hepatomegaly with multiple metastatic lesions and abdominal carcinomatosis with a small amount of ascites. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/08/01/3.htm
1 Aug 2023
Be on alert for CRC in younger patients
Medical groups are coming to consensus about expanded screening guidelines for colorectal cancer that lower the age to begin screening.
https://immattersacp.org/archives/2021/09/be-on-alert-for-crc-in-younger-patients.htm
1 Sep 2021
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
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
Financial incentives associated with increased FIT uptake but not increased CRC screening overall
A three-arm trial of incentives for fecal immunochemical testing (FIT) and colorectal cancer screening (CRC) tested mail-only, mail and monetary, and mail and lottery interventions.
https://immattersacp.org/weekly/archives/2019/07/09/2.htm
9 Jul 2019
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
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
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