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50 yr old female with PMH of colon cancer, HTN HLD with constipation has experienced changes...

50 yr old female with PMH of colon cancer, HTN HLD with constipation has experienced changes on bowel movement from several months used to have 2-3 bolwel movements a day now having every 2 days lat 3 months.. C/o of N/V bloating, occasional bloody stool lost 30 lbs in 3 months, occasional fever and chills. rduced BS, no dulness to precussion, no tenderness, what next best step:

surgery

diet mosification

colonoscopy

ASA and steroids

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Colonoscopy is the next best step to diagnose the underlying cause of patient complaints.

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