Condition Info - BotMed Application

ConditionName

Colorectal cancer

ConditionDescription

Symptoms

Change in bowel habits;
Ab pain; RLQ; LLQ;
Most - left side. May cause change of stool caliber; 
Constipation; +/- Diarrhea; 
Hematochezia;
Melena;
Weakness;
Fatigue;
Weigh loss;

PhysicalFindings

ClinicalTests

Iron def anemia in elderly male or post-meno female – colorectal cancer until proved otherwise;
↑CEA – 70%;

Colonoscopy with biopsy (screening test);
FOBT (screening test);

RiskFactors

Adenomatous colon polyps;
Hereditary polyposis;
Family history;
Previous colon cancer;
UC and CD (IBD);
Low fiber/high fat diet;
Increased meat consumption;
Alcohol;
Smoking;
DM;
Age;

IsRedFlag

IsNPLEX

Consequence

Surveillance:
CEA every 3 m for 3 years;
CT of the chest/ab/pelvis every year;
Colonoscopy 1,3,5 year;

ProgressionFromCondition

TreatmentOptions

PharmOptions

Surgery;
At least 20 lymph nodes has to be tested for cancer -> chemo if positive;

WebLink

https://www.merckmanuals.com/professional/gastrointestinal-disorders/tumors-of-the-gastrointestinal-tract/colorectal-cancer