A 52-year-old woman presented to a gastroenterologist with a 3-month history of progressive left lower quadrant...

A 52-year-old woman presented to a gastroenterologist with a 3-month history of progressive left lower quadrant abdominal pain, weight loss, and fatigue. In the last few days she had noted bloody stool. A colonoscopic examination with biopsy revealed an obstructing adenocarcinoma of the sigmoid colon. The patient underwent a partial colectomy and colostomy placement. Past medical history was noteworthy for ulcerative colitis, which was diagnosed when the patient was 24 years old but which had not required extensive medical care. The patient's previous clinical encounters had been limited to preventive visits to her gynecologist, who had never discussed her ulcerative colitis and had not recommended periodic colonoscopy or sigmoidoscopy.

1) What are the patient's risk factors and

(2 What are the gaps in healthcare/risk assessment

APA citation

Expert Solution

ulcertive colitis is long term illness of the colon characterized by a period of remission and a period of excerabation, mainly affect colon and rectum. it leads carcioma of colon. an individual ith ulcerative colitis develops carcionoma 2% after 10 years, 8% after 20 years and 18% after 30 years.

adenocarcioma of sigmoid colon is a cancer that occurs in the lining of mucous producing glands of large intestine. Risk factors of adenocarcioma are familyhistory of cancer, history of inflammatory bowel disease for 10yeras, has history of villous adenoma. it occurs in age between 40-50, increases with age and life style factors include smoking, alcohol, obesity, higher consumption of red meat.

1.This 52 year old women has had history of ulcerative colitis for the last 30 years and age is another risk factor for her. adenocarcinoma increases with age

2. The gaps occurs for her in order to find her disease, are instruction regarding follow up and advise to visit gastroenterologist to check for colonoscopy and sigmoidscopy as she has history of ulcerative colitis for more than 30years. she should be educated regarding stool occult blood test and fecal immunochemical test yearly and a double contrast enema every years,colonoscopy every 10 years

even though causes of adenocarcinom is unknown, risk factors to be kept in mind and educate to visit and review medical condition.. thereby chances of disease can be reduced to maximum.

Nightingale answered 1 year ago

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