MDT-GIT - PowerPoint presentation lecture

Gastrointestinal disease

1. MDT-GIT CONSULTANTS -DR NYAMHUNGA , DR CHIBONDA REGISTRAR - DR NF NCUBE

2. Clinical Presentation 48/F ,Ms GM , HIV positive on HAART since 2006 March 2024 presented with acute abdominal pain USS scan showed an inflamed appendix Emergency appendectomy done Pathology showed an appendiceal tumor Follow up CT imaging noted multiple sub centimeter lymph nodes Positive family history of malignancy , brother diagnosed of Colon CA 2nd degree relatives diagnosed of other malignancies

3. Physical Examination KPS - 100% JACCOL Right lower quadrant abdominal scar Healed supra pubic scar no masses , no tenderness rest of system examination unremarkable

4. Bloods FBC -WCC-5.80 Hb-14.1 Plt-234 MCV -86.5 ANC -1.65 U& E s - Na -143 K-3.6 Urea-2.81 Creat-60.2 EgFR- 60 Ca19.9-10.8 CEA -1.341

5. Review Pathology Radiology Surgical review Discussion