Rectal Bleeding

Can you answer:

  1. How to differentiate right and left colon cancers?
  2. Risk factors for Colorectal CA?
  3. Specific symptoms of Rectal CA?
  4. How to investigate a patient with Rectal CA?
  5. Management?
  6. Bowel preparation for Colonoscopy?

✅ History taken
⭕ Class by Consultant
✅ Read Bailey

✅ ⭕

Format

Specific Symptoms

BATMAN

Bleeding PR, Alteration of bowel habits, Tenesmus, Mucus, Anaemia

Analyze Bleeding

Analyze Stools (colour, volume, frequency, consistency)

Hx of Present Complaint (D-SAC)

  • DDs

⭕Differentiate from Left and Right colonic cancer

  • SOCRATES-P
  • Aetiology (risk factors, family hx)

CA Rectum - Risk Factors

  • Complications (Local, locoregional and distant spread)

⭕Intestinal obstruction (due to circumferential growth)

History

⭕Mr. Jamis, a 65 year old retired accountant from Kundasale presents with a history of rectal bleeding for 1 month duration.

Ix and Mx

  • Investigations

CA Rectum - Ix

  • Management

⭕ Staging

CA Rectum - Mx

Theory

  • Anatomy

rectum

  • Physiology
  • Pathology

Adenocarcinoma