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Bowel polyps
Hereditary non-polyposis colorectal cancer (Lynch syndrome)
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Colorectal Cancer
Risk Factors Age >45 years (accounts for 90% of Colon Cancer)Inflammatory Bowel Disease Ulcerative Colitis – Risk increases with duration since diagnosis (2% at 10 years of disease, 18% at 30 years of disease)Crohns Disease – Lifetime risk of Colorectal Cancer: 4-5% Adenomatous polyps >5mm (Confers RR of 2-3 times)Hamartomatous…
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PR bleeding
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Local anal conditions
Anal fissure Haemorrhoids (piles) Grading External/internal + degrees if external. Internal: Dilation of superior haemorrhoidal plexus. External: Dilation of inferior haemorrhoidal plexus – below dentate line. 🡪 Graded by degrees: □ Preferred to GTN less headaches Perianal haematoma Strangulated hemorrhoid Anorectal abscess and fistula Perianal abscess Ischiorectal abscess Anorectal fistula…