Familial adenomatous polyposis

Data gathering
  • Red flags – weight loss, bowel habit changes, PR bleeding
  • Others – dark spots on lips/tongue, eye changes (retinal pigmentation)
  • Examine – weight, pulse, BP, abdomen, PR
CM
Ex
  • Runs in families. Lumps (polyps) grow on the bowel lining.
Tx
  • Refer – Medical Geneticist – blood test and colonoscopy screening
  • Colectomy – varying degrees
  • Screening – usually involves yearly colonoscopies (from age 12)
  • Psychological support – groups (MacMillan site), CBT