medportal CDB | Colorectal

Colorectal

Activity
Round Table Discussion

Review of anatomy. Review of physiology. Diverticular disease. Large Bowel Obstruction (Cancer, Volvulus). Colitis (Infectious and Ischemic).

Curriculum Block

Clerkship / Surgery Rotation

- Indicates most relevant

Objectives

Clerkship Objectives

Enterocolitis
Use of surveillance endoscopy in ulcerative colitis.
Indications for and methods of screening for colorectal carcinoma.
Outline the diagnosis and management of colonic volvulus, diverticular stricture, fecal impaction and obstructing colon cancer.
List the diagnostic methods utilized in the evaluation of potential large bowel obstruction, including contraindications and cost effectiveness.
Describe the clinical presentation and etiologies of large bowel obstruction.
Discuss the potential etiologies of constipation in adults and children. Consider chronic vs. acute.
Outline the risk factors, presentation, diagnosis and management of ischemic colitis.
Discuss the clinical manifestations, risk factors, diagnosis and management of pseudomembranous colitis.
Contrast the pathology, anatomic location and pattern, cancer risk and diagnostic evaluation of ulcerative colitis and Crohn’s disease.
Describe the presentation and potential complications of ulcerative colitis and Crohn’s disease.
Discuss the differential diagnosis of diarrhea in adults. Consider chronicity, absence or presence of blood and associated pain. Consider infectious causes.
Fecal Impaction
Carcinoma Bowel
Describe the causes of hepatomegaly.
Diverticulitis
Appendicitis
Inflammatory Bowel Disease (Crohn’s Disease/Ulcerative Colitis)
Discuss treatment plan for each diagnosis listed in objective one (for perianal pain), including non-operative interventions and role and timing of surgical interventions.
Describe physical exam findings for each diagnosis of perianal pain. Indicate in which part of exam (external, digital, anoscopic or proctoscopic) these findings are identified.
Discuss the characteristic history findings for each of the above (perianal pain) including: character and duration of complaint, presence or absence of associated bleeding, relationship of complaint to defecation.
Develop a differential diagnosis for a patient with perianal pain. (Be sure to include benign, malignant and inflammatory causes.)
Pertinent medical history: prior surgery or illness, associated conditions (pregnancy, menstrual cycle, diabetes, atrial fibrillation or cardiovascular disease, immunosuppression). Medications: anticoagulation, steroids etc. (for abdominal pain).
Associated signs and symptoms of abdominal pain (nausea vomiting, fever, chills, anorexia, wt. loss, cough, dysphagia, dysuria/frequency, altered bowel function diarrhea, constipation, obstipation, hematochezia, melena, etc.).
Alleviating and exacerbating factors of abdominal pain (position, food, activity, medications).
Temporal sequence of abdominal pain (onset, frequency, duration, progression).
Characterization of abdominal pain (location, severity, character, pattern).

Curriculum Block

Objectives

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