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Surveillance colonoscopy


Surveillance colonoscopy


حالة سريرية

الوصف الكامل Background
A 45-year-old woman is undergoing evaluation to determine the cause of iron deficiency anemia. The patient is otherwise healthy, and family history is unremarkable. Colonoscopy shows a 2-cm villous adenoma in the sigmoid colon; the adenoma is removed during the procedure.
كتابة حرة وطرح موضوع النقاش!
In addition to counseling regarding screening of family members, which of the following is most appropriate at this time?

A Repeat colonoscopy in 6 months
B Repeat colonoscopy in 3 years
C Repeat colonoscopy in 10 years
D Annual fecal occult blood testing
E Referral for left hemicolectomy

dr.tabban's picture
by


d

Fouad's picture
Fouad
بعد التخرج


برأيي تنظير الكولون أهم من فحص الدم بالبراز

KMG's picture
KMG
طبيب مقيم


صح
تنظير الكولون، بس كم التواتر؟

dr.tabban's picture
dr.tabban


b

qusei


كل 3 او 5 سنوات

qusei


البوليب الزغابي يعتبر الاكثر قابلية للتسرطن و لكن كونه قابل للحركة يخفف من خطورته (اللاطئ اكثر خطورة ).

الجواب aتنظير كل 6 شهور

a.m.a's picture
a.m.a
طبيب مقيم


لح روح مع الأول. الزلمة مخوطر يصير معي شي.

KMG's picture
KMG
طبيب مقيم


كل 3 سنوات

moonberg's picture
moonberg
بعد التخرج


اذا هيك كل 3 سنين.....بس مو المراقبة السنوية عبر الدم بالبراز؟

Fouad's picture
Fouad
بعد التخرج


قصي الصح..
Patients with a high-risk polypoid lesion detected and removed during screening colonoscopy should undergo surveillance colonoscopy in 3 years.

dr.tabban's picture
dr.tabban


b??

SINA's picture
SINA
طالب دراسات عليا


b

the best's picture
the best
طالب دراسات عليا


I think this question should be addressed to internal medicine residents (or internist) . I think it is above medical students scope of knowledge because it is very detailed and specialized.
That does not mean medical students should not look for the answer .Only they should not be expected to know it

The key word in this question:
Villous adenoma. 1 cm (advanced adenoma)
and the other important word is removed (i,e completely removed)

ABIM's picture
ABIM


Embarrased always late

Quote:
high-risk polypoid lesion

a polyp larger than 1 cm or hystology showing villous or tubulovillous adenoma

SINA's picture
SINA
طالب دراسات عليا

Quote:
اذا هيك كل 3 سنين.....بس مو المراقبة السنوية عبر الدم بالبراز؟

صح والمراقبة السنوية بال FOBT

and don't forget the screening of family members

moonberg's picture
moonberg
بعد التخرج


welcome dr.OMAR
you are true, but nothing is off limits for damascus students...

the questions is from MKSAP

dr.tabban's picture
dr.tabban


الله يجبر بخاطرك دكتور عمر Laughing out loud يعني مو مشكلة إني ما عرفت الجواب.

KMG's picture
KMG
طبيب مقيم

Quote:
the questions is from MKSAP

I just love this book

Quote:
I think this question should be addressed to internal medicine residents (or internist) . I think it is above medical students scope of knowledge because it is very detailed and specialized.
That does not mean medical students should not look for the answer .Only they should not be expected to know it

Welcome Dr Omar... Actually I think there is some differance nowadays and personally I faced a question in my step 2 CK exam about this issue

moonberg's picture
moonberg
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MKSAP is directed for internal medicine resident who are preparing for Internal Medicine Boards
It is not fair to expect medical students to know that much details. They may ask about the methods of screening for colon cancer in USMLE but I don't believe they will go is such details about duration in between colonoscopies.
Personally I have more than one question about this issue in my internal Medicine Board Exam in 2000.

ABIM's picture
ABIM

Quote:
They may ask about the methods of screening for colon cancer in USMLE but I don't believe they will go is such details about duration in between colonoscopies

believe me Doctor they ask about the durations nowadays not only this they always ask really difficult ones like if one of relatives of the patient had a colon cancer so when should we screen the patient(before 10 years of the date of patient's case)more than this the preventive medicine in my exam was reaaly hard and asked me a puzzeled questions and about duration also and my performance wasn't that good in preventive medicine for thisCrying or Very sad Crying or Very sad

moonberg's picture
moonberg
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