USMLE Forum Archives - USMLE Step 3 - intermittent rectal bleeding
intermittent rectal bleeding
meduploader - 06-28-09 15:37
34 yr old male with 2 wk h/o intermittent rectal bleeding, no oter symptoms
family h/o: Similar h/o in father who underwent colectomy at 50 yr of age,father also have prostate ca; breast ca in mother & mother's sister
Clinical exam & lab: in normal limits
on sigmoidoscopy: numerous polyps that can't be counted. Most polyps lesss then 1 cm & can't be counted. two lesion biopsied & showed benign adenoma.
pt return 1 wk after for advice:
Most correct sttement is:
meduploader - 06-28-09 15:37
34 yr old male with 2 wk h/o intermittent rectal bleeding, no oter symptoms
family h/o: Similar h/o in father who underwent colectomy at 50 yr of age,father also have prostate ca; breast ca in mother & mother's sister
Clinical exam & lab: in normal limits
on sigmoidoscopy: numerous polyps that can't be counted. Most polyps lesss then 1 cm & can't be counted. two lesion biopsied & showed benign adenoma.
pt return 1 wk after for advice:
Most correct sttement is:
The correct answer and explanation will be available after you answer.
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#8
Re: intermittent rectal bleeding
meduploader - 06-29-09 16:01 My answer is: c.
he should be referred to surgeon for colectomy
#21
Re: intermittent rectal bleeding dopamine - 06-09-10 21:55 My answer is: c.
sounds like having FAP. Colectomy becomes mandatory
#25
Re: intermittent rectal bleeding babbu5508 - 06-22-10 12:41 My answer is: c.
familial adenomatous polyposis which requires prophylactic colectomy as each of the adenomatous polyps have the potential of becoming malignant
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