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Symptoms & History
Physical Findings
Stop & Think
Lab and X-Ray
Differential Diagnosis
The Disease
Treatment
Conclusions
Quiz & Evaluation
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This value is too high to be a benign condition.
There is no choice
but to check out Mr. Herbert's bowel directly.
- Which end do we start
with?
- Statistically carcinoma
of the colon is more frequent.
- And colonic malignancies
can remain asymptomatic for months or even years if they arise in
the cecum (Why
?).
The choice seems clear, colonoscopy
for Mr. Herbert.
- Colonoscopy allows direct
visualization and biopsy of any lesion, a major improvement on previous procedures.
Colonoscopy has its drawbacks.
- It can easily run upwards
of a $1,000
- The subject will likely
miss a whole day of work.
- If it isn't pre-approved,
insurance companies won't pay.
The benefits outweigh the drawbacks,
let's talk to him
. Back
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