Gastroenterology is a critically important specialty in medicine, encompassing the GI tract and two vital organs - the pancreas and the liver.
Gastroenterology is a critically important specialty in medicine, encompassing the GI tract and two vital organs - the pancreas and the liver. Gastroenterology: Clinical Cases Uncovered includes reference to the new JCHMT curriculum for acute and internal medicine concerning gastroenterology and hepatology and presents real-life patient cases and outcomes as seen on the wards and in exams leading students through a practical approach to recognize, understand, investigate and manage gastroenterological and hepatological disorders and conditions. Following a question-answer approach, with self-assessment MCQs, EMQs and SAQs, and a 'refresher' section on basic science, Gastroenterology: Clinical Cases Uncovered features investigations and the treatment options available for patients with upper and lower GI disorders, liver disease, biliary and pancreatic disease, and problems of nutrition.
Gastroenterology: Clinical Cases Uncovered is ideal for medical students, junior doctors on the Foundation Programme, GP trainees, specialist nurses and nurse practitioners and gastroenterology trainees on the specialty training programme.
Inhaltsverzeichnis
Preface, vii How to use this book, viii
List of abbreviations, ix
Part 1 Basics, 1
Basic science, 1
Approach to the patient, 14
Part 2 Cases, 29
Upper gastrointestinal
Case 1 A 61-year-old woman with progressive dysphagia, 29
Case 2 A 52-year-old man with atypical chest pain, 34
Case 3 A 57-year-old woman with upper abdominal discomfort, 40
Case 4 A 36-year-old man with upper abdominal discomfort and heartburn, 45
Case 5 A 27-year-old woman with nausea and vomiting, 51
Case 6 A 73-year-old man with haematemesis and melaena, 56
Case 7 A 68-year-old woman with fatigue, weight loss and altered bowel habit, 63
Lower gastrointestinal
Case 8 A 23-year-old woman with constipation, 69
Case 9 A 24-year-old woman with chronic diarrhoea, 74
Case 10 A 51-year-old woman with acute nausea, vomiting and diarrhoea, 80
Case 11 A 79-year-old woman with altered bowel habit and weight loss, 85
Case 12 A 54-year-old man with rectal bleeding, 90
Case 13 A 66-year-old woman with anaemia, 95
Liver disease
Case 14 A 64-year-old man with abnormal liver function tests, 100
Case 15 A 45-year-old man with acute jaundice, 109
Case 16 A 53-year-old woman with jaundice and abnormal liver tests, 115
Case 17 A 53-year-old man with abdominal swelling, 120
Case 18 A 36-year-old man who drinks alcohol, 125
Biliary and pancreatic disease
Case 19 A 79-year-old man with right upper quadrant colicky abdominal discomfort, 131
Case 20 A 19-year-old man with acute abdominal pain, 136
Nutrition
Case 21 A 35-year-old woman with anorexia, 143
Case 22 A 48-year-old man with an increased body mass index, 148
Functional disorders
Case 23 A 21-year-old student with chronic abdominal pain, 153
Part 3 Self-assessment, 159
MCQs, 159
EMQs, 162
SAQs, 166
Answers, 167
Further reading, 173
Index of cases by diagnosis, 175
Index, 177
The colour plate section can be found facing p. 54.
