Nigel Lane, Louise Powter, and Sam Patel (eds)
- Published in print:
- 2016
- Published Online:
- November 2020
- ISBN:
- 9780199680269
- eISBN:
- 9780191918360
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780199680269.003.0006
- Subject:
- Clinical Medicine and Allied Health, Professional Development in Medicine
A 76-year-old woman was admitted to the acute medical unit with a one-week history of diarrhoea. She was opening her bowels four times per day. She had recently started a new medication.
On ...
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A 76-year-old woman was admitted to the acute medical unit with a one-week history of diarrhoea. She was opening her bowels four times per day. She had recently started a new medication.
On examination, her temperature was 36.4°C, pulse was 74 beats per minute, and blood pressure was 134/78 mmHg. She had a resting tremor in the right upper limb. Her abdomen was soft, with mild generalized tenderness.
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A 76-year-old woman was admitted to the acute medical unit with a one-week history of diarrhoea. She was opening her bowels four times per day. She had recently started a new medication.
On examination, her temperature was 36.4°C, pulse was 74 beats per minute, and blood pressure was 134/78 mmHg. She had a resting tremor in the right upper limb. Her abdomen was soft, with mild generalized tenderness.
Thomas Marjot
- Published in print:
- 2021
- Published Online:
- June 2021
- ISBN:
- 9780198834373
- eISBN:
- 9780191933394
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780198834373.003.0006
- Subject:
- Clinical Medicine and Allied Health, Gastroenterology
This chapter covers core curriculum topics relating to small intestinal disorders and malabsorption. This includes a discussion of key gut hormones involved in digestion and absorptive processes ...
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This chapter covers core curriculum topics relating to small intestinal disorders and malabsorption. This includes a discussion of key gut hormones involved in digestion and absorptive processes including with relevance for obesity. Questions on gastrointestinal neurotransmitters and transporters provide education in gut physiology. The protean presentations of several micronutrient deficiencies seen in clinical practice are discussed. Focus is given to the diagnosis, initial management and follow up of patients with coeliac disease and villous atrophy including later-onset complications such as enteropathy-associated T cell lymphoma. Also covered is the investigation of small intestinal motility disorders and the manifestations and management of functional abdominal conditions such as irritable bowel syndrome. Disorders of bile acid recirculation, microbial dysregulation including through acute infections, and key medications causing presentations with diarrhoea are incorporated in this chapter. Additional curriculum material regarding small intestinal disorders will also be covered in the mock examination chapter.Less
This chapter covers core curriculum topics relating to small intestinal disorders and malabsorption. This includes a discussion of key gut hormones involved in digestion and absorptive processes including with relevance for obesity. Questions on gastrointestinal neurotransmitters and transporters provide education in gut physiology. The protean presentations of several micronutrient deficiencies seen in clinical practice are discussed. Focus is given to the diagnosis, initial management and follow up of patients with coeliac disease and villous atrophy including later-onset complications such as enteropathy-associated T cell lymphoma. Also covered is the investigation of small intestinal motility disorders and the manifestations and management of functional abdominal conditions such as irritable bowel syndrome. Disorders of bile acid recirculation, microbial dysregulation including through acute infections, and key medications causing presentations with diarrhoea are incorporated in this chapter. Additional curriculum material regarding small intestinal disorders will also be covered in the mock examination chapter.
