Alh2220 guided notes v2016b

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MMSE Assignment

What is the primary treatment for celiac disease?

Colorectal Cancer Risk Factors for GI cancer (list at least three) 1. 2. 3. With early detection, these cancers can often be cured because they are usually very slow growing. Unfortunately, these cancers are often overlooked because of the relative invasiveness of trying to detect them Signs and Symptoms of colon cancer • Diarrhea, constipation or other change in bowel habits that does not resolve • Blood in the stool • Unexplained anemia (anemia in any adults other than menstruating women should almost always be evaluated by a colonoscopy) • Abdominal pain and tenderness in the lower abdomen • Intestinal obstruction • Weight loss with no known reason • Stools narrower than usual What is the single most important prognostic indicator of colorectal cancer?

The prognosis is poor if they spread to the hepatic portal system (do you know why?) Colon cancer often arises from adenomatous polyps, which are outgrowths of intestinal mucosa. Adenomatous polyps may be pedunculated (stalked) or sessile (flat-based). Cancers are more common in the sessile ____________________________ polyps; hyperplastic polyps are not usually precancerous. Screening is encouraged for early detection and probable cure  Initially the recommended screening was a flexible sigmoidoscopy every 3 – 5 years and yearly Hemoccult – this recommendation was because 60% of early lesions were located in the rectosigmoid and the thought that cecal cancers were more likely to bleed.

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