Check Study Program

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. 1.What are the pertinent points in Ben’s presentation, and what tests would you order? 2.Considering Ben’s test results, what could be the cause of his diarrhoea? 3.What is your diagnosis? 4.Is surgery required? What management would you recommend? 5.What are the long-term issues to be aware of for people with IBD? 6.What is the potential cause of Ben’s abnormal LFT result? 7.What is Ben’s long-term prognosis? Is he at risk of potential comorbidities? #Week13_Case3

#NAFLD_Malignancy #Immunisation

#NAFLD_Cardiovascular_Risk #Statin #liver

#NAFLD_Lifestyle

#NAFLD_Mx

#NAFLD_Fibrosis

#NAFLD_Assessment

#NAFLD

#Liver_Enzymes #Investigations

#LFT_Indications #Liver

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 (Table 1). The results for the full blood examination and urea, electrolytes and creatinine are within reference ranges. 1.What are the possible diagnoses? 2.What history would you take and what examination would you perform on Niamh? 3.How do you proceed? 4.What is your diagnosis/diagnoses? 5.How would you manage Niamh? 6.What are your thoughts on Niamh’s diet? 7.How would you respond? 8.What are your thoughts on Niamh’s diet? 9.What is the basis to ‘intermittent fasting’? 10.What investigations would you order? 11.How do you explain to Niamh what is happening? **#Week13_Case2

#IBS_Rome_IVCriteria

#IBS_Antibiotics

#IBS_Antidepressants

#IBS_Bloating_MX

#IBS_Abdominal_Pain_MX