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COLORECTAL DISEASE
Case #3 -
A 75 year old with lower abdominal pain and distension

DISCUSSION QUESTIONS:
1.) What is the differential diagnosis in this patient based on presentation?  Answer 
2.) What additional history do you need?  Answer 
3.) Would you look for additional physical findings?  Answer 
4.) What diagnostic tests do you need?  Answer 
5.) What are the differences in presentation between large bowel obstruction and small bowel obstruction?  Answer 
6.) What are possible etiologies for large bowel obstruction?  Answer 
7.) What are potential complications of large bowel obstruction?  Answer 
8.) How would you define volvulus? What parts of the large bowel may be involved?  Answer 
9.) What is the management of sigmoid volvulus? Of cecal volvulus?  Answer 
10.) What is the management of colon cancer presenting with obstruction?  Answer 
11.) What procedure would you do in the emergent setting with unprepped bowel?  Answer 
 
  The Virtual Patient > Case List > COLORECTAL DISEASE - Case # 3