Patient Encounter Part 1

GW is a 61-year-old man who presents to your clinic with a chief complaint of abdominal discomfort and cramping for the last 3 weeks not relieved with over-the-counter medications. While obtaining your medical history, he states that he also has seen small amounts of blood in his stool on and off for 4 months. He has a medical history positive for hypertension and obesity. He states that he has smoked a pack of cigarettes per day for the last 40 years and drinks 4 to 6 beers every couple of days.

What risk factors does GW have for colon cancer?

Does he have clinical symptoms suggestive of colon cancer?

What additional tests need to be ordered to diagnosis colon cancer?

Table 91-2 Common Reasons for Inaccurate Results from Guaiac Stool Tests

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