Approaches to common clinical problems

Stuart Bloom, George Webster and Daniel Marks

in Oxford Handbook of Gastroenterology and Hepatology

Second edition

Published on behalf of Oxford University Press

Published in print December 2011 | ISBN: 9780199584079
Published online May 2012 | e-ISBN: 9780191730672 | DOI:

Series: Oxford Medical Handbooks

Approaches to common clinical problems

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Acute diarrhoea (less than 14 days) - Agitation and confusion in the GI patient - Anaemia and occult GI bleeding - Anorectal problems - Ascites - Bloating and wind - Chronic diarrhoea - Chronic or recurrent abdominal pain - Cirrhosis and chronic liver disease - Constipation - Dyspepsia and gastro-oesophageal reflux - Electrolyte disturbance - Faecal incontinence - Gastrointestinal problems in pregnancy - Liver problems in pregnancy - Mouth and swallowing problems - Nausea and vomiting - Non-cardiac chest pain - Nutritional support - Obesity - Recent-onset jaundice - Unintentional weight loss - Well patients with abnormal liver tests - History - Physical examination - Carbohydrate malabsorption - Excess ingestion of poorly absorbed carbohydrate - Functional (IBS) - Generalized parietal pain due to peritonitis - Localized peritoneal pain - Pain from increased tension in viscera - Ischaemia - Retroperitoneal causes - Extra-abdominal - Functional causes - Establish rapport and trust - Avoid temptation to do more diagnostic tests - Set appropriate goals - Consider specialized referrals - Why no threshold age for endoscopy in the NICE guidelines? - Neuromuscular diseases - Local structural causes - Disorders of the upper oesophageal sphincter - Motility disorders - Mechanical, intrinsic - Mechanical, extrinsic - Infective - Mechanical obstruction - Alcoholic gastritis - Acute liver failure - Metabolic causes

Chapter.  26727 words.  Illustrated.

Subjects: Gastroenterology

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