Presentations
- Abdominal pain
- Anal pain/pruritis
- Bleeding
- Constipation
- Diarrhoea (acute versus chronic)
- Endoscopic findings:
- Imaging findings
- Weight loss
Conditions
- Anorectal disease
- Colitis:
- infective (e.g. Clostridium difficile colitis)
- infiltrative
- inflammatory bowel disease (see KG7)
- ischaemic colitis
- microscopic
- parasitic
- viral
- Colonic angiodysplasia
- Colonic obstruction/ pseudo-obstruction
- Colorectal carcinoma
- Colorectal polyposis syndromes
- Diverticular disease
- Functional lower gastrointestinal conditions
- Gastroenteritis
- Intussusception
- Mesenteric ischaemia
- Rectal bleeding (see KG2)
- Short bowel syndrome
PCH
Conditions
- Allergic colitis
- Retentive and non-retentive soiling
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients' needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Conditions
- Developmental anomalies
- Intestinal neoplasms (other than colorectal cancer):
- Megacolon:
PCH
Presentations
- Congenital anomalies
- Congenital/genetic aetiologies for secretory/osmotic diarrhoea in neonatal period/infancy
- Intestinal lymphatic/vascular malformations
- Malrotation
Conditions
- Congenital syndromes (e.g. Down syndrome, Hirschsprung disease, VATER)
- Gastroschisis-related
- Omphalocele-related
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients' needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Bowel cancer screening
- Classification of colonic polyps:
- neoplastic
- non-neoplastic
- sub-mucosal
- Current evidence-based colonic polyp surveillance recommendations
- Management and genetics of polyposis syndromes
- Structural pathologies and their intersections with surgeries
- Understand intestinal motility and motor physiology
- Anorectal physiology studies
- Indications and process of faecal transplantations
- Know indications for colonoscopies
- Quality assurance specific to colonoscopies
- Select appropriate radiology imaging (e.g. CT colonography, intestinal ultrasound)
- Stool testing types and indications (e.g. calpro, faecal occult blood test [FOBT], MCS, OCP [ova, cysts, parasites])
- Transit studies
- Understand appropriate endoscopic techniques
PCH
- Genetic testing (e.g. TTC7A deficiency)
