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gastroenterology cancer colon colorectal diagnosis management screening table tests bowel causes differential gibleed ibs indications irritable lower syndrome upper workup
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Diverticular, Cancer, Polyps ... Inflammatory: Ischemic colitis ... , Infectious colitis ... , Radiation CMC ... diagnosis #Causes #algorithm
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
specificity for CRC ... visualization: • Colonoscopy ... specificity for polyps ... Screening #Tests #comparison ... #Testing
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
specificity for CRC ... visualization: • Colonoscopy ... specificity for polyps ... Indications #Tests #comparison ... #Testing #Indications
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
strategy with minimal testing ... risk • Routine colonoscopy ... things" → fewer polyps ... allergy/ sensitivity testing ... lactoferrin + CRP
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