Search results for "Colonoscopy"
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
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
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
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
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
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
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
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
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