peter90036 wrote:
Colonoscopy every 10 years. (+) polyp: rpt q3yr
Right. Thats the answer... Q3yrs.
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| usmletopper2
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The patient tells you that he underwent a colonoscopy 3 years ago. Two hyperplastic polyps were found in the rectum. He also had scattered diverticula in the sigmoid. Based on this new information, which strategy do you recommend?
 A) Colonoscopy now.  B) Colonoscopy in 2 years. C) Yearly tests for fecal occult blood. D) Yearly tests for fecal occult blood and colonoscopy in 7 years. D)   E) Colonoscopy in 7 years
Feedback: Hyperplastic polyps are commonly found in the colon and have a predilection for the distal rectum. Unlike adenomas, typical hyperplastic polyps are changes that do not substantially raise the risk for colorectal cancer. Therefore, polypectomy or surveillance examinations are not necessary. Colonoscopy is the test with the highest sensitivity and specificity for the detection of neoplastic or other changes in the colon. Current guidelines for colorectal cancer screening include a full colonoscopy every 10 years as one potential option. Individuals who have no pathologic findings on colonoscopy should not be tested for fecal occult blood for screening within the following 10 years, considering the much lower sensitivity and specificity of stool tests compared to colonoscopy
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| usmletopper2
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i know it has to be rpted evry 3 yrrs thats what is given in kpln and uw but the q ,
is from harrisson e supplement which is reliable  ,why should be there be so much controversy
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| liliaeliz
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hyperplastic polyps Like the general population
adenoma polyps low riesk every 5 years and high riesk every 3 years and yearly
FOB
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| usmletopper2
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that is good ends confusion
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| DrVirgo
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Kap says "If polyps have been found on a previous colonoscopy, then a repeat colonoscopy should be done in 3 to 5 years."
It just says polyps, and doesn't specify what type.
I forgot what type of polyp the UW question said, but I remember that answer was 3-5 years as well.
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