15.2 Digestive Problems
Digestive problems are common in general practice, and the GP has a central role in the diagnosis and management of digestive problems in primary care. This RCGP curriculum statement covers conditions of the entire gastrointestinal tract, including the liver, pancreas, gall bladder and perianal area.
Here we have collated key articles from our journals to help you meet the curriculum requirements in this area.
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Red flag symptoms - Epigastric pain
It is vital to ensure the patient is haemodynamically stable, says Dr Roopa Jaiswal.
Red flag symptoms: Dysphagia
Advice on identifying potentially serious causes of dysphagia, clinical evaluation...
Red flag symptoms: Vomiting in adults
Dr Suchita Shah highlights the red flag symptoms associated with vomiting in adults...
Coeliac disease - clinical review
Diagnosis and management of coeliac disease, including typical and atypical presentations,...
Common bile duct stones - clinical review
The diagnosis and management of common bile duct stones, estimated to be present...
Acute epigastric pain - case study
A presentation of acute epigastric pain in a 44-year old female patient, leading...
Red flag symptoms: Diarrhoea, investigations and when to refer
Treatment depends on the patient's age and the timeline of events.
Primary biliary cirrhosis: case study
A case of primary biliary cirrhosis discovered during routine liver function tests,...
Coeliac disease: hot topic
GPs have a vital role in diagnosing coeliac disease, according to the latest NICE...
Case study: Managing PPI-resistant GORD
Combined behaviourial therapy and medication are essential, write Dr Neel Sharma,...
Childhood constipation
Dr Samar Razaq discusses the management of a child with worsening constipation.
