10 results
Capillary Refill Testing on Physical Exam

- The pressure is increased until the skin is blank and
Capillary Refill ... Testing on Physical ... of normal skin color ... #Capillary #filling ... #Refill #time #Testing
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
Performance Characteristics ... specificity for CRC ... lesions or SSLs • Colon ... Colorectal #Cancer #colon ... #Testing
Capillary filling time is measured by applying firm pressure on the ventral surface of the distal
Capillary filling ... of normal skin color ... ANDROMEDA-SHOCK study #Capillary ... #Refill #time #Testing
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
Family History Performance ... specificity for CRC ... lesions or SSLs • Colon ... Colorectal #Cancer #colon ... #Testing #Indications
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Tract - Genetic testing ... Criteria: >5 Juvenile colon ... polyps outside the colon ... gene mutation - Colon ... 95%, throughout colon
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinis", determined heating ... urine sediment and color ... physician could assess color ... Visual exam • Color ... [(U Na x P Cr) /
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Differential Diagnosis Algorithm ... Adenoma • Colon ... Disease (Screen with CBC ... Differential #Diagnosis #Algorithm
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm
 - Define Colonic Disease Extent, Activity &
New Diagnosis of Colon ... Cancer Algorithm ... Dysplasia in Remaining Colon ... 39% of pts with CRC ... Crohns #Disease #Colon
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Private practice setting ... 1) Redundant Colon ... failed/redundant colons ... diagnosis #management #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Consult GI • Labs: CBC ... CMP, TSH, ESR, CRP ... Endoscopy (Flex Sig or Colon ... diagnosis #management #algorithm