Presentations and conditions
- Acute abdominal pain
- Acute gastrointestinal (GI) bleeding:
- lower GI
- upper GI (non-variceal and variceal)
- Acute septic patient
- Decompensated liver disease (ascites, encephalopathy, variceal bleeding)
- Fulminant colitis, including toxic megacolon
- Fulminant liver failure (e.g. paracetamol poisoning)
- Ingested foreign bodies (e.g. caustic ingestion, oesophageal button batteries) and food bolus obstruction
- Intestinal obstruction
- Jaundice, including:
- cholangitis
- obstructive jaundice
- Liver failure:
- acute and chronic
- acute on chronic
- Perforated viscus
- Portal hypertension
- Post-endoscopic complications (life-threatening)
- Severe pancreatitis
PCH
- Neonatal/Infantile acholic stools
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
- Gastroenterological conditions associated with portal hypertension (e.g. ascites, encephalopathy, hepatorenal syndrome, spontaneous bacterial peritonitis, varices)
- Relevant pharmacology and pharmacotherapy
- Resuscitation, including:
- blood product resuscitation
- management of coagulopathy
- Know indications and process for liver transplant referral
- Know indications for and basic interpretations of:
- emergency endoscopic procedures and triaging of timing of procedures
- intervention, including surgery and interventional radiology
- radiology
- Know which test(s) to order and when
- Surgical review (e.g. fulminant colitis, suspected intestinal perforation)
- General rules and categories of triage
- Psychosocial aspects of gastrointestinal disorders, including psychiatric review
