Clinical Guide to Gastroenterology

Yang Chen, Maxton Pitcher, Yang Chen, Maxton Pitcher, Christian Fielder Camm

• Publisher: Wiley-Blackwell
• Year: 2019
• Print ISBN: 9781119189169
• eBook ISBN: 9781119189183
• Edition: 1
• Topic: Medicine
• Subtopic: Gastroenterology & Hepatology

Clinical Guide to Gastroenterology is an accessible, quick-reference resource that provides practical, evidence-based information on investigations, interventions and management of clinical gastroenterological scenarios.

It is packed full with bullet points, diagrams, tables, and algorithms of the important presentations and conditions within Clinical Gastroenterology.

Divided into sections, the book offers in-depth coverage of presenting complaints in Gastroenterology, common conditions broken down by organ system, important investigations and procedures, and pharmacology. Detail is given to the sequence of clinical examination, investigations and management required to diagnose and treat a wide range of gastroenterological disorders.

• Provides information on symptoms, disorders and issues found in the clinical environment
• Guides readers in decision-making, appropriate investigation, and conducting interventions
• Includes important guidelines and clinical trials within each chapter
• Supplemented by a companion website featuring a wealth of additional material, including more than 70 audio clips, over 50 clinical case studies, and almost 350 self-assessment questions, as well as key clinical trials and guidelines

Clinical Guide to Gastroenterology is a must-have text for junior doctors and medical students as well as doctors, nurses and trainees working within Emergency Departments, Medical, or Surgical Assessment Units.

1.1
Examination Technique

Rosalie Alpine

Northwick Park Hospital, London North West Healthcare NHS Trust, London, UK

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CONTENTS

1. 1.1.1 Chapter at a Glance
2. 1.1.2 Common Conditions
3. 1.1.3 Clinical Examination – Peripheries
4. 1.1.4 Clinical Examination – Abdomen
5. 1.1.5 How to Present Your Findings
6. 1.1.6 Eponymous Signs and Symptoms

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1.1.1 CHAPTER AT A GLANCE

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Box 1.1.1 Chapter at a Glance

• The abdominal examination is complex and requires practice to master
• Significant features suggestive of chronic abdominal disease are available in the peripheries
• Systematic examination of the abdomen is important to not miss findings

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1.1.2 COMMON CONDITIONS

Chronic liver disease (CLD)
Alcohol withdrawal
Viral hepatitis
Inflammatory bowel disease (IBD)
Malignancy

1.1.3 CLINICAL EXAMINATION – PERIPHERIES

Table 1.1.1 Elements to be undertaken prior to examining the patient

Item	Detail
Appropriate hand hygiene	Wash hands with soap and water or alcohol hand rub
Introduce yourself	Full name and job title
Confirm patient's identity	Confirm name and date of birth, verify against wristband
Gain consent	Explain your role, the examination, and why you are perform...

Table of contents

• Cover
• Table of Contents
• List of Contributors
• Acronyms and Abbreviations
• Podcast and Box Icons
• About the Companion Website
• 1.1 Examination Technique
• 2.1 Dysphagia
• 2.2 Dyspepsia
• 2.3 Nausea and Vomiting
• 2.4 Abdominal Pain
• 2.6 GI Bleeding
• 2.7 Change in Bowel Habit
• 2.8 Anaemia
• 2.9 Jaundice
• 3.2 Oesophagus
• 3.3 Stomach
• 3.4 Small Intestine
• 3.5 Large Intestine
• 3.6 Inflammatory Bowel Disease and Irritable Bowel Syndrome
• 3.7 Liver
• 3.8 Biliary Tract
• 3.9 Pancreas
• 4.1 Liver Biochemistry and Faecal Tests
• 4.2 Abdominal Ultrasound (US)
• 4.3 Abdominal X‐ray
• 4.4 CT Imaging
• 4.5 Oesophagogastroduodenoscopy (OGD)
• 4.6 Barium Swallow
• 4.8 Magnetic Resonance Cholangiopancreatography
• 4.9 Endoscopic Retrograde Cholangiopancreatography
• 4.10 Enteral and Parenteral Feeding
• 4.12 Flexible Sigmoidoscopy
• 4.13 Colonoscopy
• 4.14 Abdominal Paracentesis
• 5.1 Pharmacology – Dyspepsia
• 5.2 Pharmacology – IBD
• 5.3 Pharmacology – Liver Disease
• 5.4 Pharmacology
• 5.5 Pharmacology – Paracetamol Overdose
• Index
• End User License Agreement