Digestive conditions
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Unit 590
January 2022
This edition of check focuses on digestive conditions in general practice.
Below is a list of the case studies found in this month's edition of check. To see how these case studies unfold and gain valuable insights into this months topic, log into gplearning to complete the course.
Aarti, aged 63 years, presents with right lower quadrant abdominal pain. Aarti is well known to you; her abdominal pain has been intermittent for the past year with periods of reprieve, but she has had similar episodes in the previous 20 years. She has been experiencing predominantly constipation with occasional diarrhoea. After meals, she feels bloated. Aarti reports no rectal or vaginal bleeding and has been postmenopausal for 15 years.
Niamh, aged 61 years, is a new patient, having just moved to your area. She is seeing you to follow up tests requested by her previous general practitioner (GP). Niamh saw her previous GP a couple of weeks ago regarding right upper quadrant abdominal pain, which has now settled. Her GP ordered blood tests and abdominal ultrasonography. Niamh had the blood tests but has not yet had abdominal ultrasonography. Her GP gave her a copy of her results to be followed up by her new GP. The results for the full blood examination and urea, electrolytes and creatinine are within reference ranges
Ben, aged 29 years, is a retail manager who presents with increased bowel frequency, altered stool consistency and urgency for a period of two months. Instead of a single daily bowel action, he has been having to use his bowel up to five times a day. He does not report any blood but mentions that he has noticed mucus in the stool. Ben has tried eliminating wheat and dairy products, but this has not improved his symptoms. He is not a heavy alcohol consumer, and his weight is normal.
This unit of check is approved for 6 hours of CPD activity (two hours per case). The 6 hours, when completed, including the online questions, comprise five hours’ ±«ÓãÊÓÆµal Activities and five hours’ Reviewing Performance.
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Each unit of check comprises approximately five clinical cases, and the choice of cases will cover the broad spectrum of the unit’s topic. Each unit will be led by a GP with an interest and capability in the topic, and they will scope the five different cases for that unit in collaboration with the check team.