Question

This 72 year old female presents with a biopsy-proven adenocarcinoma of the sigmoid colon at 20 cm. The patient has been noted to have some bright, red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of the rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile polyp, which was partially excised at the 20 cm level showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time, after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection. 10. The patient has which of the following chronic symptoms? a. loss of appetite b. melena c. hematochezia d. loose stool 11. The presumed cause of her chronic symptom was: a. glandular tumor of the stomach b. swollen rectal veins c. ulcerative colitis d. malignant tumor of the colon 12. What procedure did she have recently that diagnosed her condition? a. visual examination of her large intestine b. removal of her sigmoid colon c. low anterior resection of the large intestine d. hemorrhoidectomy 13. The patient is scheduled for which of the following procedures? a. biopsy of the sigmoid colon b. excision of polyp in her colon C. removal of the sigmoid colon and possible excision of additional colon tissue d. removal of 20 cm of colon, including the sigmoid colon

Answer 1

72 years of old female presents with biopsy-proven adenocarcinoma of the sigmoid colon at 20 cm. The patient has bright red bleeding intermittently from 8 months.

10.

The patient has Malena for 8 months. Malena is characterized by fresh blood in the stool, this patient is experiencing this symptom from 8 months so, it is a chronic condition.

Answer - Malena

11.

The preassumed causes of her chronic symptoms was a malignant tumor of the colon.

Because she was diagnosed with adenocarcinoma of sigmoid colon which is proved by biopsy.

Answer - malignant tumor of the colon.

12.

She had a visual examination of her large intestine(Colonoscopy) recently by Dr. Scoma that diagnosed her condition.

Answer - visual examination of her large intestine

13.

The patient is scheduled for Removal of the sigmoid colon and possible excision of additional colon tissue.

Because of the case study state, The patient is to enter the hospital at this time, after home antibiotic and mechanical bowel preparation to undergo sigmoid colectomy and possible further resection.

Answer -

Removal of the sigmoid colon and possible excision of additional colon tissue.