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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.

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