Sandbox:Qurrat

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Diseases Clinical manifestations Para-clinical findings Gold standard Comments
Symptoms
Lab Findings Imaging Histopathology
Constipation/Diarrhea Blood in stool Abdominal pain Other symptoms Anemia Tumor marker Endoscopy CT scan Other imaging study
Adenocarcinoma +/- + +/- + CEA+ On gross pathology:[3]
  • Polypoid or fungating exophytic lesion (right-sided colorectal tumors)
  • Circumferential and annular lesions producing an "apple-core" appearance on barium enema x-ray (left-sided tumors).
AVM[4]
Diverticulitis[5] +
  • Fever+/- chills
  • Nausea+/- vomiting
  • Leukocytosis
  • Evidence of inflammation
  • Outpouchings of the colonic wall
Hemorrhoid
Anal fissure
Infectious colitis
Peutz-Jeghers syndrome[6]
Diseases Clinical manifestations Para-clinical findings Gold standard Comments
Symptoms
Lab Findings Imaging Histopathology
Constipation/Diarrhea Blood in stool Abdominal pain Other symptoms CBC Stool test Colonoscopy CT scan
Carcinoids[7]
Juvenile Polyposis Coli
Gastrointestinal Stromal Tumors (GIST)[8]
Hamartoms
Colorectal Lymphoma[9]
Kaposi's sarcoma
Ulcerative colitis[10] Diarrhea + LLQ[10]
  • Vitamin B12 defi. anemia[10]
  • Autoimmune hemolytic anemia
  • Continuous lesions, presence of crypts, formation of residual mucosal tissue[10]
  • Mucosal and submucosal inflammation[10]
  • Hemorrhage or inflammatory polymorphonuclear cells aggregate in the lamina propria
  • Distorted crypts
  • Crypt abscess
  • Endoscopy and a mucosal biopsy[11]
Crohn's disease[10] Diarrhea LRQ[10]
  • Vitamin B12 defi. anemia[10]
  • Autoimmune hemolytic anemia
  • Discontinuous lesions, strictures, linear ulcerations[10]
  • Transmural pattern of inflammation[10]
  • Mucosal damage
  • Focal infiltration of leukocytes into the epithelium
  • Granulomas
  • Endoscopy and a mucosal biopsy[11]
Irritable bowel syndrome
Appendicitis
Paralytic ileus
Diseases Symptom 1 Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Lab 1 Lab 2 Lab 3 Imaging 1 Imaging 2 Imaging 3 Histopathology Gold standard Additional findings
Strangulated hernia
Prostate Cancer
Bowel endometriosis

References

  1. Doubeni CA, Corley DA, Quinn VP, Jensen CD, Zauber AG, Goodman M, Johnson JR, Mehta SJ, Becerra TA, Zhao WK, Schottinger J, Doria-Rose VP, Levin TR, Weiss NS, Fletcher RH (February 2018). "Effectiveness of screening colonoscopy in reducing the risk of death from right and left colon cancer: a large community-based study". Gut. 67 (2): 291–298. doi:10.1136/gutjnl-2016-312712. PMID 27733426.
  2. Rathore, Saima; Hussain, Mutawarra; Ali, Ahmad; Khan, Asifullah (2013). "A Recent Survey on Colon Cancer Detection Techniques". IEEE/ACM Transactions on Computational Biology and Bioinformatics. 10 (3): 545–563. doi:10.1109/TCBB.2013.84. ISSN 1545-5963.
  3. Weiss JM, Pfau PR, O'Connor ES, King J, LoConte N, Kennedy G; et al. (2011). "Mortality by stage for right- versus left-sided colon cancer: analysis of surveillance, epidemiology, and end results--Medicare data". J Clin Oncol. 29 (33): 4401–9. doi:10.1200/JCO.2011.36.4414. PMC 3221523. PMID 21969498.
  4. Lee HH, Kwon HM, Gil S, Kim YS, Cho M, Seo KJ, Chae HS, Cho YS (2017). "Endoscopic resection of asymptomatic, colonic, polypoid arteriovenous malformations: Two case reports and a literature review". Saudi J Gastroenterol. 23 (1): 67–70. doi:10.4103/1319-3767.199111. PMC 5329980. PMID 28139503.
  5. Shen SH, Chen JD, Tiu CM, Chou YH, Chiang JH, Chang CY, Lee CH (September 2005). "Differentiating colonic diverticulitis from colon cancer: the value of computed tomography in the emergency setting". J Chin Med Assoc. 68 (9): 411–8. doi:10.1016/S1726-4901(09)70156-X. PMID 16187597.
  6. Zhong ME, Niu BZ, Ji WY, Wu B (June 2016). "Laparoscopic restorative proctocolectomy with ileal pouch-anal anastomosis for Peutz-Jeghers syndrome with synchronous rectal cancer". World J. Gastroenterol. 22 (22): 5293–6. doi:10.3748/wjg.v22.i22.5293. PMID 27298573.
  7. Chung TP, Hunt SR (May 2006). "Carcinoid and neuroendocrine tumors of the colon and rectum". Clin Colon Rectal Surg. 19 (2): 45–8. doi:10.1055/s-2006-942343. PMC 2780103. PMID 20011309.
  8. Niazi AK, Kaley K, Saif MW (May 2014). "Gastrointestinal stromal tumor of colon: a case report and review of literature". Anticancer Res. 34 (5): 2547–50. PMID 24778074.
  9. Quayle FJ, Lowney JK (May 2006). "Colorectal lymphoma". Clin Colon Rectal Surg. 19 (2): 49–53. doi:10.1055/s-2006-942344. PMC 2780105. PMID 20011310.
  10. 10.0 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 Fakhoury M, Negrulj R, Mooranian A, Al-Salami H (2014). "Inflammatory bowel disease: clinical aspects and treatments". J Inflamm Res. 7: 113–20. doi:10.2147/JIR.S65979. PMC 4106026. PMID 25075198.
  11. 11.0 11.1 Collins P, Rhodes J (August 2006). "Ulcerative colitis: diagnosis and management". BMJ. 333 (7563): 340–3. doi:10.1136/bmj.333.7563.340. PMC 1539087. PMID 16902215.