The patient had sigmoid polyps discovered on screening flexible
sigmoidoscopy. He denies hematochezia, melena, abdominal pain, change
in bowel habits or appetite, and weight loss. Informed consent was obtained
by the colonoscopist just prior to the procedure. Risks, benefits, and alternatives
were discussed in a 3 minute conversation witnessed by the nurse.
Previous Medical Diagnoses, Hospitalizations, and Operations:
Coronary Artery Disease 1998
Hyperlipidemia 1998
Medications:
Isosorbide mononitrate
Fosinopril
Metoprolol
Simvastatin
Personal and Social History:
No excessive alcohol or tobacco use; no substance abuse; no
travel; stable family and finances