Gastrointestinal System Disorders Q 178 - Gyan Darpan : Learning Portal
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Wednesday 13 April 2022

Gastrointestinal System Disorders Q 178

Which of the following symptoms is a client with colon cancer most likely to exhibit?
    A. A change in appetite.
    B. A change in bowel habits.
    C. An increase in body weight.
    D. An increase in body temperature.

Correct Answer: B. A change in bowel habits.

The most common complaint of the client with colon cancer is a change in bowel habits. Tumor location on the clinical presentation can be separated on left-sided with more changes in bowel habits and hematochezia, and right-sided with obscured anemia impacting on late-stage at diagnosis.

Option A: The client may have anorexia, secondary abdominal distention. The provider should perform a thorough physical examination for signs of ascites, hepatomegaly, and lymphadenopathy. Comprehensive family history is of great relevance to identify familial clusters and inherent patterns that would alter surveillance and therapy on the high-risk patient.
Option C: The client may have weight loss. Late presentation with metastatic disease at diagnosis will depend on the symptoms at the organ affected by the route of spread; to the liver via the portal system, to lungs via the inferior vena cava, to supraclavicular adenopathy via lymphatic or to neighbor structures by contiguous invasion.
Option D: Fever isn’t associated with colon cancer. Diagnostic colonoscopy’s triggers are blood per rectum (37%), abdominal pain (34%), and anemia (23%). The most common indications of emergency surgery are obstruction (57%), peritonitis (25%), and perforation (18%).

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