Domain – Gastrointestinal health (guiding topics)
Diagnose, investigate appropriately, and manage emergency gastrointestinal presentations in both children and adults:
- gastroenteritis causing dehydration in infants/children
- acute bowel obstruction
- appendicitis
- ischaemic bowel
- intussusception
- irreducible hernia
- swallowed foreign body
- acute gastrointestinal bleeding
- acute cholecystitis
- acute hepatitis
- acute liver failure
- acute pancreatitis
- peritonitis.
Diagnose, investigate appropriately and manage dysphagia, epigastric pain and reflux symptoms due to:
- gastro-oesophageal reflux disease (GORD)
- eosinophilic oesophagitis
- oesophageal stricture
- oesophageal achalasia
- oesophageal spasm
- oesophageal cancer
- ulcers – gastric, duodenal, Helicobacter pylori.
- gastric adenocarcinoma.
Understand the approach to altered bowel habits caused by:
- irritable bowel syndrome
- diarrhoea
- toddler’s diarrhoea
- viral gastroenteritis
- bacterial gastroenteritis
- giardiasis
- traveller’s diarrhoea
- worms and parasitic infection
- constipation
- faecal incontinence
- malabsorption syndromes
- coeliac disease
- fructose and lactose intolerance
- food intolerance
- food allergy
- short bowel syndrome
- Hirschsprung’s disease
- bariatric surgery
- long term PPI use.
Understand the approach to rectal bleeding caused by:
- bowel cancer
- inflammatory bowel disease
- Crohn’s disease
- ulcerative colitis
- haemorrhoids
- fissures
Diagnose, investigate appropriately and manage upper abdominal pain symptoms due to:
- chronic liver disease
- hepatitis B and C
- fatty liver
- alcoholic liver disease
- liver cirrhosis
- primary biliary cirrhosis
- portal hypertension
- cholelithiasis
- pancreatic malignancy
- pyloric stenosis.
Diagnose, investigate appropriately and manage lower abdominal pain symptoms due to:
- diverticular disease
- diverticulitis
- bowel cancer
- sigmoid volvulus.
Understand the approach to discomfort in the rectum caused by:
- skin tags
- thrombosed haemorrhoid
- anal abscess
- anal pruritus
- rectal prolapse
- rectal cancer
- pilonidal sinus.
Understand the approach to lumps in the groin caused by:
- direct and indirect inguinal hernia
- femoral hernia
- incisional hernia.