To demonstrate an understanding of how patients with GI problems present
To demonstrate an understanding of the causes of common GI symptoms
Colicky RUQ pain, severe, radiating to below right
scapula = consider biliary colic and gallstones
Gnawing epigastric pain, remission for weeks/months, exac. by food, radiating into back consider = peptic ulcer
what is the commonest cause of a serious and life threatening GI bleeding = Burst peptic ulceration
Epigastric pain with associated mass + dysphagia; = consider a gastric carcinoma
painless jaundice = consider a carcinoma of head of pancreas
To understand how different body systems inter-relate
To be able to ask relevant GI questions in a medical history
how have your bowel movements changed?
such as the consistency the intervals
ask about any symptoms of dysphagia?
such as is it brought on by certain foods? solids? liquids? - can you feel food sticking? where? etc