At what age should we start screening for colorectal cancer? - Answer Age 45
-75
Risk factors for colon cancer - Answer Family history
>50 years old
IBD
Smoking
Genetic factors
High fat diet
What happens when the colon becomes cancerous? How does the shape change -
Answer Becomes nodular and then metastasizes
S/s of colon cancer include - Answer Sudden onset of changes in bowel habits or
frequency
Bloody bowels
Anemia
Weight loss unexplained
Gold standard for diagnosis colon cancer - Answer Colonoscopy
Management after colonoscopy when dealing with colon cancer - Answer Refer to GI,
Surg, and Onc
What is GER in infants? - Answer GER is called happy spitters
Starts usually at birth and ends @ 18 months
This is reflux and regurgitation w/ or w/out vomiting due to the relaxation of the lower
sphincter stomach contents reflux up
How often does GER have spitting episodes? - Answer Multiple times a day w or w.out
eyes is
Characteristics of GER in infant - Answer Normal growth patterns
, Gaining weight appropriately
No distress
No irritability
Happy baby
No back arching
When should GER stop and what if it does not? - Answer GER should stop by 18 months,
if it does not then patient should be referred to GI for investigation
GERD characteristics in infants - Answer Back arching- tortililis
Cough or hoarse cough and cry
Poor weight gain
Refusal to eat
Sleep disturbances
Irritability
What is normal time frame for gerd in infants - Answer 1 week to 6months, if after 6
months infant needs to be referred to GI pediatric
What are red flags with gerd in infants - Answer Neurological issues
Bile or blood emesis
Projectile vomiting
Onset after 6 months
Abdominal distention
Nocturnal vomiting
Lethargy
What physical findings will you see in an infant with gerd? - Answer Torticollis- neck
arching
Anemia
Hoarseness
Tooth decay
Rash
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