GI - 11 Colon disorders pt 2 Flashcards Preview

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Flashcards in GI - 11 Colon disorders pt 2 Deck (28)
1

___ is believed to be caused by being deficient in fiber

Colonic diverticulOSIS

15

__ – a marker for colon cancer. If they have colon cancer, follow the level through their treatment.
Remove cancer and this level normalizes.

CEA level

15

What is CEA level?

– a marker for colon cancer. If they have colon cancer, follow the level through their treatment.
Remove cancer and CEA level normalizes.

16

__ is the diagnostic procedure of choice to inspect the colon

Colonoscopy

16

What imaging test identifies Recttal cancer?

endorectal ultrasonography (Depth of penetration of cancer through rectal wall and pararectal lymph nodes)

17

treatment of choice of the primary colonic or rectal cancer is

Resection

17

As of Stage _of rectal cancer: Give chemotherapy

Stage 3

18

What's the significance of Stage 3 of rectal cancer?

Giving chemotherapy significantly helps chances

18

Compared with __ cancer, __ cancer has lower longterm survival rates and higher recurrence rate

Compared with colon cancer, rectal cancer has lower longterm survival rates and higher recurrence rate

19

Increased among people practicing receptive anal intercourse

Anal Cancer

19

What group has a higher chance of anal cancer?

Anal intercourse folk.

20

In over 80% of cases of anal cancer __ is detected

HPV

20

In which colon cancer is HPV often detected?

Anal Cancer

21

Bleeding, pain with defecation are most common symptoms

Anal Cancer

21

Acute Lower GI Bleeding happens below what landmark?

Below the ligament of Treitz

22

**Presents as acute, painless, large-volume maroon or bright red hematochezia in patients over age 50

Diverticulosis' bleeding

22

Bleeding Diverticulum is seen with __

colonoscopy

23

__ is Most common in patients >70 years and in those with chronic renal failure
Occur throughout the upper and lower intestinal tracts

Vascular Ectasias

23

Brown stools mixed with blood predict the problem is in the __ or __ (where in the body?)

Sigmoid colon or anus

24

Bright red blood in stool suggests the problem is where?

Colon

24

Maroon stools suggest the problem is where? (2)

Small intestine or Right colon

25

Black stools suggest the problem is where?

Proximal to the ligament of Treitz

25

Where is the ligament of Treitz?

connects the duodenum of the small intestine to the diaphragm.

26

Painless large-volume bleeding
usually suggests (2)

diverticular bleeding or vascular ectasias

26

Bloody diarrhea associated with cramping abdominal pain, urgency, or tenesmus suggests (3)

inflammatory bowel disease, infectious colitis, or ischemic colitis

27

What do you do if a patient has lower GI bleeding?

First check if lower GI bleeding starts in Upper GI or not with NG tube aspiration.
If not: Do colonoscopy

27

Bleeding that is not apparent (not at all) to the patient is called:

Occult Lower GI Bleeding

28

What identifies Occult Lower GI Bleeding?

FOBT (fecal occult blood test)