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Gastroenterology - Clinical Cases Uncovered
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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.

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Satish Keshav is a Consultant Gastroenterologist and Honorary Senior Lecturer at the John Radcliffe Hospital in Oxford.

Emma Culver is a Registrar Gastroenterologist at the John Radcliffe Hospital in Oxford.

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English

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.

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