A 35 y/o woman requests a routine health assessment. She has no - TopicsExpress



          

A 35 y/o woman requests a routine health assessment. She has no specific medical complaints or past medical hstory. Her father developed colon cancer at age 54 but is still living. His brother died of colon cancer at aae 41. Their father (the patients grandfather) died in his sixties of colon cancer. His sister died of gastric cancer. The patents sister was recently diagnosed with endometrial cancer at age 43. The patient has a good appetite and has no nausea, vomiting, or weight loss. She has had no change in her bowel habits or hematochezia, and her menstrual periods are normal. Physical examination is normal. Digital rectal examination is negative for fecal occult blood. A screening complete blood count and biochemical profile are normal. Which of the following actions is most appropriate? a. Perform annual occult blood tests of three stool specimens. Initiate screening with flexible sigmoidoscopy at age 50. b. Perform colonoscopy at least every 2 years. c. Barium enema now; if normal no further evaluation. d. Perform colonoscopy now; if no polyps are seen, no further investigation is necessary. e. Perform fecal occult blood testing and flexible sigmoidoscopy now. If no polyps are seen now, the patient should be followed routinely with fecal occult blood testing and flexible sigmoidoscopy beginning at age 50.
Posted on: Sun, 21 Dec 2014 08:09:59 +0000

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