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The s10.ai colorectal cancer consultation template is expertly crafted for colorectal surgeons to efficiently document patient consultations. This comprehensive template encompasses sections for patient demographics, diagnosis, symptoms, medical history, family history, and examination findings. It also includes areas for investigations, clinical impressions, and treatment plans, ensuring thorough documentation. Perfectly suited for use within s10.ai, this template enhances the workflow by streamlining the recording of detailed patient information, thereby supporting the effective management of colorectal cancer cases. It is especially beneficial for documenting intricate cases that necessitate multidisciplinary collaboration and continuous treatment planning.
Organized sections for comprehensive clinical documentation
Example of completed documentation using this template
I had the pleasure of seeing John Smith on 1 November 2024. He is a 62-year-old male seen today with his wife.He has been recently diagnosed with stage IIIB colorectal cancer.The patient reports abdominal pain for 3 months. The patient denies weight loss. The patient reports changes in bowel habits and fatigue. He has a 5-year history of type 2 diabetes, which may have worsened over the past year.This was his third colonoscopy. He had a CT scan in 2023 which was inconclusive.Family History:Father had colon cancer at age 70.Surgical/Medical History:Appendectomy in 1990, hypertension.Procedures:Colonoscopy (Dr. Thomas Doe - 1 November 2024): Large mass in the sigmoid colon.Known Allergies:PenicillinMedications: Metformin, LisinoprilLifestyle Notes:Non-smoker, occasional alcohol useInvestigations:Blood Test (1 November 2024):Elevated CEA levelsNormal liver functionAnemiaNormal kidney functionElevated glucoseMRI (1 November 2024):Mass in sigmoid colonNo metastasisOncology:Previous chemotherapy for colon cancer in 2022Examination:Clinical examination demonstrated tenderness in the lower abdomen. There was evidence of a palpable mass. Rectal examination was normal. He has pallor and mild dehydration. He has absence of lymphadenopathy.Impression/Plan:I have ordered the following: PET scan and biopsy to assess the extent of the disease, in case he requires further chemotherapy.His case will be presented at the oncology board meeting. He has a stage IIIB colorectal cancer. Although the mass is large, it appears localized. I am not sure he will need surgery. He is a suitable surgical candidate.He was quite anxious and had several questions today, which were answered. I will refer him to oncology to get their formal opinion regarding chemotherapy, in the interim.I have suggested a treatment plan involving possible surgery and chemotherapy.I will see him next following these investigations. If he does not need surgery, we will plan for chemotherapy in 2 weeks.My office will be in touch with John Smith.Thank you for involving me in his care.(45 min)
Key advantages of using this template in clinical practice
Common questions about this template and its usage