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Clinical Accuracy Spoken Here
Understanding Metastatic CRC

When cancer spreads (metastasizes) the new tumor has the same type of abnormal cells as the primary tumor. When colorectal cancer spreads outside the colon or rectum, cancer cells are often found in nearby lymph nodes. If cancer cells have reached these nodes, they may also have spread to other lymph nodes, the liver, or other organs. For example, if colorectal cancer spreads to the liver, the cancer cells in the liver are actually colorectal cancer cells. The disease is metastatic colorectal cancer, not liver cancer and is treated as colorectal cancer, not liver cancer.

CRC, Module A, Pathophysiology www.athenaforum.com

Is it IBD or IBS?

Patients frequently become mired in the alphabet soup of GI disorders.  Particular confusion is found between IBD and IBS.  Inflammatory bowel disease (IBD) is the name for diseases that cause inflammation in the small intestine and colon. IBD is different from irritable bowel syndrome (IBS). Unlike IBD, IBS does not cause:

  • Inflammation

  • Ulcers

  • Other damage to the bowel

IBS is a less serious problem called a functional disorder. In IBS, the digestive system looks normal but does not work as it should.

GI Disorders, Module A, UC
Excellence in Case Mgmnt
Assessing the Uninsured’s “Assets”

Sometimes the patient’s status changes during the course of the hospitalization so this definitely is not an area to only address at admission. Uninsured and underinsured does not mean the individual cannot pay. While the mission of the hospital may be to provide charity care to those who cannot pay, identifying them can be a challenge. People may come into the hospital and say they don’t have a job, but they may have other assets. People may deny having tax records or paycheck stubs, but are self-employed and making an income.

[Reference: Hospital Revenue Cycle, Module B, Hospital Cash Flow]

In the Headlines . . .
Early Detection Pays off with CRC

The CDC reported that drops in colorectal cancer cases among people ages 50 to 75  coincided with increases in screening for the disease of those in that age group. Researchers also wrote in the Morbidity and Mortality Weekly Report that the death rate from colorectal cancer decreased from 19 to 16.7 people per 100,000 cases during that time. Los Angeles Times (7/6)

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The look of confidence
  CM Excellence® Series: 
  » Principles of Case
  » Patient Advocacy
  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
  » Colorectal Cancer
  » COPD
  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
  » Pain Management
  » Rheumatoid Arthritis
  » Women’s Health



Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum


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