A 61-year-old man asks about bowel cancer screening. He has no change in bowel habit, rectal bleeding or iron deficiency, and his mother was diagnosed with bowel cancer at 72 years of age; no other first-degree relative is affected. His most recent faecal immunochemical test was negative. Which one of the following is the most appropriate next step?
Keep going — a set of ten like this one, one at a time.
Practise moreMore from Gastroenterology and Hepatology
See allA 46-year-old woman was admitted yesterday with epigastric pain and a serum lipase of 3,400 U/L (<60). Ultrasound showed multiple gallbladder stones and a commo…
Pre-internship · middle twist
A 26-year-old man born in Vietnam who migrated to Australia at age 10 attends for a pre-employment medical. He is well. Blood tests show: hepatitis B surface an…
Pre-internship · middle twist
A 29-year-old woman asks whether she has coeliac disease. For three years she had bloating, loose stools and tiredness; four months ago she removed gluten from…
Clinical rotations · middle twist
A 34-year-old woman describes 18 months of intermittent difficulty swallowing. From the beginning both liquids and solids have been affected, and it is worse wh…
Clinical rotations · common
A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…
Clinical rotations · common