Phys Clinical Cases · gastrointestinal
Colorectal Cancer — DCE Clinical Case
DCE long-case and short-case station for Colorectal Cancer.
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Colorectal Cancer — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Colorectal Cancer. [1]
Presenting complaint: Subacute or acute symptoms referable to Colorectal Cancer, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Colorectal Cancer, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Marmo R, Venezia L, Galeazzi F, Cannizzaro R, et al. Programme-level determinants of participation in colorectal cancer screening in Italy: a national cross-sectional study BMC Public Health, 2026.PMID 42469726
- [2]Laforce-van Lierop LMA, Dang R, Narula N, Ingram RJM, et al. The VISION-AI Trial: protocol for a pragmatic randomized controlled non-inferiority trial comparing artificial intelligence-guided colonoscopy to pancolonic chromoendoscopy for neoplasia detection in adults with colorectal inflammatory bowel disease BMC Gastroenterol, 2026.PMID 42469662
- [3]Zhen J, Dong M, Li Y, Cao B, et al. Human salivary microbiome as a potential non-invasive biomarker for early-onset colorectal cancer screening: a prospective study BMC Microbiol, 2026.PMID 42469627
- [4]Lu TF, Shih YH, Chen YF, Fan CT, et al. Association of Hormone Therapy with Long-Term Outcomes After Chemoradiation for Locally Advanced Cervical Cancer Am J Obstet Gynecol, 2026.PMID 42468866
- [5]Raja NP, Kandagari N Neoadjuvant Imatinib Therapy in Rectal Gastrointestinal Stromal Tumors: A Comprehensive Narrative Review of Tumor Downsizing, Sphincter Preservation, Transanal Surgical Platforms, Functional Outcomes, and Survival J Gastrointest Cancer, 2026.PMID 42467291
- [6]Buali HF, Al Shaibani A, Farouqi US, Abushloa T, et al. Prostate Cancer Screening: Current Controversies and Future Directions Cureus, 2026.PMID 42465149
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922