Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

GI Crash Course Emily Hu Y5 & Kevin Kuan Y6What we’ll cover today: ▶ The acute abdomen and red flags! ▶ Hepatobiliary disease and LFTs ▶ Inflammatory bowel disease ▶ GI tract cancers ▶ IBS, coeliac diseaseThe Acute Abdomen ➔Differential diagnoses ◆ appendicitis ◆ pancreatitis ◆ IBD ◆ diverticulitis ◆ bowel obstruction ◆ cholecystitis ◆ pyelonephritis ◆ ectopic pregnancy ◆ DKA ➔Management ➔Treatment - remember your A-E!Red Flags! 1. Unintentional weight loss 2. Nocturnal symptoms 3. Odynophagia/dysphagia 4. Upper/lower GI bleeding a. melaena b. hematochezia c. haematemesisHepatobiliary Disease ➔Liver cirrhosis ◆ hepatic encephalopathy ◆ ascites ◆ oesophageal varices ➔Non-alcoholic fatty liver disease (NAFLD) ➔Pancreatitis ➔Hepatitis ➔Gallstone diseases ◆ Acute cholecystitis ◆ Acute cholangitisLFTs & Patterns ➔ALT, AST ➔ALP, GGT ➔Bilirubin ➔AlbuminInflammatory Bowel Disease ➔Ulcerative colitis & Crohn’s disease ➔Signs, symptoms, investigations, management ➔Know the difference between the 2 types! ➔Complications: ◆ toxic megacolon ◆ bowel perforation ◆ bowel adenocarcinoma ◆ extra-intestinal complications ◆ intestinal obstruction ◆ abscess formationGI Tract Cancer ➔Colorectal cancer ◆ Colon cancer (66%) ◆ Rectal cancer (30%) ➔Liver ➔Gastric ➔Oesophageal ➔Signs, symptoms, investigations, managementIBS & Coeliac Disease ➔Irritable bowel syndrome ◆ potential precipitating dietary associations ➔Coeliac disease ◆ IgA-TTG ◆ Complications: malabsorption, hyposplenism, dermatitis herpetiformis ➔Signs, symptoms, investigations, managementMCQsQ1: Patient presents to A&E with acute abdominal pain and rectal bleeding. What is your first step in management? A. IV fluids B. Check airways, breathing, circulation C. Order abdominal CT scans D. Refer to GI specialistsQ3: Which LFT(s) most likely to be raised if biliary obstruction A.GGT B. ALT C. AST D. ALPQ4: Which LFT is raised in Paget’s bone disease A.GGT B. ALT C. AST D. ALPQ2: Which LFT most likely to be raised if drug toxicity/alcohol intoxication A.GGT B. ALT C. AST D. ALPQ5: What is diagnosis A. Ulcerative colitis B. Crohns diseaseQ6: A 62 year old man attends for his routine GP health visit. His bloods from last week showed slightly low iron levels. He reports no rectal bleeding and otherwise feels well. How should you manage the patient next? A. Reassurance and discharge with safety-netting B. Iron tablets -> recheck iron levels C. qFIT test (stool blood test) D. Order an MRI scan E. Urgent 2-week GI referralQ7: 70 year old woman presents to her GP due to diarrhoea and LLQ abdominal pain. She normally eats at home and doesn’t leave her home often. She has had a hip fracture in the past which has affected her mobility. Yesterday, she noticed some blood in her stool yesterday. What investigation should you order next to confirm the likely diagnosis in clinic? A. Abdominal X-ray B. FBC C. Colonoscopy D. CT abdomen E. Stool microscopy and cultureFeedback Please take a minute now before you leave to fill in a quick feedback form: https://app.medall.org/feedback/feed back- flow?keyword=bf212462b68a3838d8c04d 20&organisation=accessibility-in- medicineAIM Facebook Page ▶Give our Facebook page a like for updates and opportunities, just search @AIMEdinburghThank you for coming! ▶If you have any more questions, feel free to email me at s1802682@ed.ac.uk, or email accessibilityinmedicine@gmail.com ▶Remember to follow EUGS on facebook (Edinburgh University Gastroenterology Society) and instagram (@ediunigastrosoc)GI Crash Course