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------=_NextPart_01C51212.1D878860 Content-Location: file:///C:/AE4B3052/Phlebectasia2_files/master35.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C51212.1D878860 Content-Location: file:///C:/AE4B3052/Phlebectasia2_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C51212.1D878860 Content-Location: file:///C:/AE4B3052/Phlebectasia2_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Screening Colonoscopy
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Presentation
•73 year old male
•To endosco= py suite for colonoscopy
•<= /span>No complaints
•PMHx: 15mm= polyp resected from sigmoid 5/2000 which was discovered to have adenocarcinoma in situ.  Endoscopic <= /span>surveillance with flex sig 4/2001; presents for 3 year colonoscopy.  Has history of coronary artery disease requiring CABG 1998, DM, HTN, hypercholesterolemia.
•Meds: Prav= achol, ASA, metformin, insulin, HCTZ, metoprolol.
•
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Content-Type: text/html; charset="us-ascii" Screening Colonoscopy
Unrevealing review of systems
•No change in bowel habits, no weight loss, no abdominal pain. = ;•No previous history of GI blood loss. •Has history of normochromic, normocytic anemia (hemoglobin 11-12).
------=_NextPart_01C51212.1D878860 Content-Location: file:///C:/AE4B3052/Phlebectasia2_files/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Screening Colonoscopy
Family/Social History
•No family history of GI malignancy or any other notable GI <= /span>abnormality
•Retired mason.
•Lives with wife.  Denies tobacco use, occasional alcohol.
------=_NextPart_01C51212.1D878860 Content-Location: file:///C:/AE4B3052/Phlebectasia2_files/slide0007.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Screening Colonoscopy
Physical Exam
•Vitals normal
•Oropharynx moist without lesion, good dentition
•Lungs clea= r, sternotomy scar noted
•Heart regular
<= span style=3D'font-size:88%;font-weight:normal'>•Abdomen so= ft without surgical stigmata
•Rectal exa= m with external skin tag, otherw= ise normal
•
------=_NextPart_01C51212.1D878860 Content-Location: file:///C:/AE4B3052/Phlebectasia2_files/slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Screening Colonoscopy
Endoscopic findings
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Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Screening Colonoscopy
Endoscopic findings
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Endoscopic findings
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Endoscopic findings
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Endoscopic findings
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Endoscopic findings
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