Colonic Diseases. Ismael A. Lapus Jr. M.D. Internal Medicine-Gastroenterology September 11, 2008. Colonic Diseases. Careful history and physical examination Diagnostic modalities Stool exam with occult blood Barium enema CT scan Virtual colonoscopy Video colonoscopy. Colonic Diseases.
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Ismael A. Lapus Jr. M.D.
September 11, 2008
Careful history and physical examination
Irritable Bowel Syndrome
Rome II diagnostic criteria for IBS
At least 12 weeks , which need NOT be consecutive , in the preceding 12 months of abdominal discomfort or pain that has two out of the following three features
Passage of mucus
Bloating or feeing of abdominal distention
Gynecologic symptoms (dyspareunia)
Slightly tender abdomen
No effect on life longevity
No end organ damage result
Health Care Burden
A small bulging sac which protrudes from weak spots of the colon wall
Signs and Symptoms
100% Malignant Potential
Polyp features and the frequency of high-grade dysplasia
Detected coincidentally during investigation of other colonic diseases
Excision through biopsy forceps or snare polypectomy
Surveillance colonoscopy if adenoma
Secondary prevention of Colorectal Carcinoma