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This Concept Map, created with IHMC CmapTools, has information related to: CRC Screening, Hyperplasia Normal Screening repeat in 5 years (or screen w any modality), Increased Risk (now PMHx) Malignant Adenomatous Polyp Surveillance, Colonscopy Normal (no polyps) repeat in 10 yrs (or screen w any modality), Indications for Diagnostic Colonoscopy: Bleeding Occult, Hx of adenomas/SSP frequency depends on type and number of polyps, Indications for Diagnostic Colonoscopy: Change in Bowel Habits Diarrhea, Hx of IBD frequency depends on type and number of polyps, Increased Risk (now PMHx) Polyp Risk Level Incomplete/ Piecemeal/ Large sessile, CRC First Degree ≥1 x ≥60yrs, Advanced/ Multiple Polyps ᡂ polyps Invidiual Management, Incomplete/ Piecemeal/ Large sessile Depending on endo + histo results Repeat Colonoscopy 2-6mths, Contraindications to Colonoscopy proceed w caution Risk of Perforation, Repeat Colonoscopy in 5 yrs Polyp Increased Risk (now PMHx), Types of Colitis Inflammatory or Idiopathic Colitis Crohn's Disease, Biopsy No Malignancy əcm, Anastomosis Pre-op complete colonic exam? No, Biopsy Malignancy Adenoma, GI CRC/Malignancy CRC, Goals Minimize Discomfort, Advanced/ Multiple Polyps ᡂ polyps Consider Polyposis Syndrome