Subject: Medicine

Topic: Clinical Case: Mr D S is a 60-year-old man with a history of 2 colonic adenomas removed by
polypectomy in 2008. He is coming for a follow-up colonoscopy +/_ polypectomy in two weeks. He is
currently on Warfarin and Aspirin for a mitral stenosis and atria

Paper details:

Clinical Case:

Mr D S is a 60-year-old man with a history of 2 colonic adenomas removed by polypectomy in 2008. He is
coming for a follow-up colonoscopy +/_ polypectomy in two weeks. He is currently on Warfarin and Aspirin
for a mitral stenosis and atrial fibrillation.

The result of blood tests the week before the procedure are:

INR 2.7,

Platelet count 10ox109/L

Creatinine 40 umol/L

Urea 10 mmol/L

The rest of the tests are within normal range.

Please describe the whole process that you would recommend to preparing this patient for the procedure.
Explain the rationale behind your recommendations.

Maximum 2000 words.

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