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COLORECTAL DISEASE
Case #8 -
A 55 year old male with 3 months rectal bleeding

DISCUSSION QUESTIONS:
1.) What additional history is needed?
 
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2.) What must be particularly observed in the physical examination?
 
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3.) What is the differential diagnosis of rectal bleeding?
 
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4.) What are the next steps after physical examination in the diagnostic evaluation?
 
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5.) What are the roles of endoscopic ultrasound, colonoscopy, and rigid proctoscopy in this evaluation?
 
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6.) After diagnosis of adenocarcinoma of the rectum, what are the tests needed prior to definitive treatment?
 
Answer 
7.) How do you stage clinically and pathologically adenocarcinoma of the rectum?
 
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8.) What is the definitive treatment of carcinoma of the rectum?
 
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9.) When is local excision of a lesion possible?

 
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10.) What are the basic principles involved in radical resection?
 
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11.) What are the two procedures used to perform radical resection?
 
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12.) When should the patient receive neoadjuvant therapy? Adjuvant therapy?
 
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13.) What is the main purpose of adjuvant or neoadjuvant chemotherapy?
 
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14.) What tumor marker is useful in following patients after resection?
 
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15.) How should this patient be followed after resection?  Answer 
 
  The Virtual Patient > Case List > COLORECTAL DISEASE - Case # 8