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Date Completed: 04/04/2023
Page 1 of 8
- Gastroenterology & Hepatology
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Inflammatory Bowel Disease: Diagnosis
A 29 year old man, with a known history of ulcerative colitis, presents to the Emergency Department with worsening abdominal pain and bloati
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Paediatric Gastroenteritis: Causes
A 2 year old girl is brought to the Emergency Department with a 2 day history of diarrhoea and vomiting. Several other children at her nurse
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Upper Gastrointestinal Bleed: Risk Stratification
A 64 year old man presents to ED with haematemesis. You are scoring his Glasgow-Blatchford Bleeding Score. Which of the following is NOT inc
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Hepatitis B: Serology
A 34 year old man is brought to the Emergency Department after being found unresponsive in a nearby car park. On examination you note eviden
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Gastroenteritis: Microbiology
A 31 year old woman presents to ED complaining of diarrhoea and vomiting for the past 24 hours. She believes this started after eating some
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Peptic Ulcer Disease: Management
A 37 year old man presents to the Emergency Department with a 2 day history of epigastric pain. He tells you he has had similar episodes ove
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Clostridium Difficile Infection: Microbiology
A 84 year old man is brought into ED from a nursing home with a 3 day history of diarrhoea. He has had 12+ episodes of watery diarrhoea, wit
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Gastroenteritis: Management
A 23 year old student presents to the Emergency Department with a 3 day history of abdominal cramps, vomiting and diarrhoea. There have been
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Cirrhosis: Ascites
A 45 year old woman presents to the Emergency Department complaining of several weeks of increasing abdominal distension. She has a past med
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Hepatitis C: Clinical Features
A 28 year old man is brought to the Emergency Department after being found unresponsive in a nearby playpark. On examination you note eviden
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Paediatric Gastroenteritis: Management
A 6 year old girl is brought to the Emergency Department by her parents. They describe 5 days of vomiting and 3 days of diarrhoea. They tell
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Hepatitis B: Clinical Features
An 18 year old man presents to the Emergency Department after suffering a needlestick injury at work. He was cleaning the inside of a train
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Jaundice: Diagnosis
A 47 year old woman presents to the Emergency Department complaining of epigastric pain. She also notes that her stool has become pale and h
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Hepatitis C: Clinical Features
A 28 year old man is brought to the Emergency Department after being found unresponsive in a nearby playpark. On examination you note eviden
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Clostridium Difficile Infection: Investigations
A 74 year old lady is brought to the Emergency Department from her nursing home. The carers complain of profuse offensive-smelling diarrhoea
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Upper Gastrointestinal Bleed: Management
A 51 year old man with a history of hepatitis C cirrhosis is brought into ED with massive haematemesis. Which of the following has been show
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Paediatric Gastroenteritis: Investigations
A 5 year old boy is brought to the Emergency Department by his parents. They describe 3 days of vomiting and 1 day of diarrhoea. Which of th
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Clostridium Difficile Infection: Management
A 67 year old man is sent to the Emergency Department by his General Practitioner (GP) with profuse watery diarrhoea. A stool sample taken b
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Cirrhosis: Spontaneous Bacterial Peritonitis
A 58 year old man with a history of alcohol dependence presents to the Emergency Department with severe abdominal pain. On examination he ha
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Cirrhosis: Hepatic Encephalopathy
A 56 year old man presents to the Emergency Department with a 1 week history of increasing confusion and a single seizure. He has a history
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Clostridium Difficile Infection: Microbiology
A 78 year old woman, recovering in hospital after a fractured neck of femur, develops profuse diarrhoea. She has been on broad spectrum anti
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Inflammatory Bowel Disease: Investigations
A 27 year old woman presents to the Emergency Department with a 4 month history of intermittent abdominal pain associated with bloating and
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Gastroenteritis: Complications
A 27 year old woman presents to the Emergency Department complaining of a 3 day history of progressive muscle weakness and paraesthesia whic
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Upper Gastrointestinal Bleed: Management
A 34 year old man presents to the Emergency Department with a 2 day history of vomiting and epigastric pain. Whilst in the Emergency Departm
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Clostridium Difficile Infection: Severity
A 54 year old woman presents to the Emergency Department with a 3 day history of watery diarrhoea. She describes 3-5 episodes of diarrhoea a
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Hepatitis A: Clinical Features
A 68 year old man is brought to the Emergency Department by his family. He has become increasingly fatigued over the previous week and in th
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Hepatitis B: Serology
A 35 year old woman presents to the Emergency Department complaining of abdominal pain and jaundice. She tells you these symptoms developed
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Paediatric Gastroenteritis: Management
A 5 year old boy is brought to the Emergency Department by his parents. They describe 5 days of vomiting and 3 days of diarrhoea. They tell
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Foreign Body Ingestion: Management
A 2 year old girl is brought to ED by her mum after she had a choking episode 3 hours ago while playing with her mum's purse. She is complai
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Upper Gastrointestinal Bleed: Risk Stratification
A 45 year old man presents to ED with frank haematemesis. You are undertaking risk stratification. Which of the following medical conditions
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Inflammatory Bowel Disease: Diagnosis
A 37 year old woman presents to the Emergency Department with a one week history of worsening diarrhoea. She is currently being investigated
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Cirrhosis: Spontaneous Bacterial Peritonitis
A 41 year old man presents to the Emergency Department with fever, abdominal distension, and confusion. An abdominal paracentesis is perform
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Cirrhosis: Hepatic Encephalopathy
A 60 year old man with a history of alcohol dependence is brought to the Emergency Department by his family. They give a history of acute on
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Peptic Ulcer Disease: Diagnosis
A 62 year old man presents to the Emergency Department with a 6 hour history of abdominal pain. He has a past medical history of alcohol dep
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Paediatric Gastroenteritis: Management
A 5 year old boy is brought to the Emergency Department by his parents. They describe 3 days of vomiting and 1 day of diarrhoea. Which of th
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Upper Gastrointestinal Bleed: Risk Stratification
A 44 year old man presents to the Emergency Department with a 3 day history of vomiting and epigastric pain. He has a past medical history o
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Gastroenteritis: Microbiology
A 23 year old student presents to the Emergency Department with a 3 day history of abdominal cramps, vomiting and diarrhoea. There have been
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Paediatric Gastroenteritis: Diagnosis
A 3 year old girl is brought to the Emergency Department by her concerned parents. They tell you she has been vomiting for the past 24 hours
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Clostridium Difficile Infection: Microbiology
A 73 year old patient who has recently been discharged from a prolonged stay in hospital, including a stay on ITU where she was being treate
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Pyloric Stenosis: Management
A 4 week old boy is brought in by his parents with persistent intermittent vomiting. The vomiting is non-bilious, projectile and normally oc
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Peptic Ulcer Disease: Risk Factors
A 37 year old man presents to the Emergency Department with severe abdominal pain. On examination you note he is peritonitic. An erect chest
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Cirrhosis: Clinical Features
A 52 year old man presents to the Emergency Department because he cannot fully extend his ring finger on his right hand, both actively or pa
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Hepatitis A: Clinical Features
A 58 year old man is brought to the Emergency Department by his family. He has become increasingly fatigued over the previous week and in th
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Clostridium Difficile Infection: Causes
A 65 year old man is sent to the Emergency Department by his General Practitioner (GP) with profuse watery diarrhoea. A stool sample taken b
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Jaundice: Diagnosis
A 51 year old woman presents to the Emergency Department complaining of right upper quadrant pain. She has presented with a similar complain
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Paediatric Gastroenteritis: Investigations
A 3 year old boy is brought to the Emergency Department by his father. He describes 4 days of vomiting and 3 days of diarrhoea. He has no si
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Hepatitis B: Serology
A 34 year old man is brought to the Emergency Department after being found unresponsive in a nearby car park. On examination you note eviden
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Clostridium Difficile Infection: Causes
A 67 year old man is sent to the Emergency Department by his General Practitioner (GP) with profuse watery diarrhoea. A stool sample taken b
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Gastroenteritis: Microbiology
A 34 year old man presents to the Emergency Department with a 3 day history of bloody diarrhoea. You suspect he has gastroenteritis. Which o
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Gastroenteritis: Management
A 23 year old student presents to the Emergency Department with a 3 day history of abdominal cramps, vomiting and diarrhoea. There have been
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Paediatric Gastroenteritis: Management
A 4 year old boy is brought to the Emergency Department by his parents. They describe 3 days of diarrhoea and vomiting and they have present
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Upper Gastrointestinal Bleed: Risk Stratification
A 34 year old man presents to the Emergency Department with a 2 day history of vomiting and epigastric pain. Whilst in the Emergency Departm
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Paediatric Gastroenteritis: Management
A 2 year old child, weighing 15 kg, is brought into ED with a 2 day history of diarrhoea and vomiting. On examination, you note sunken eyes
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Upper Gastrointestinal Bleed: Management
A 54 year old woman presents to the Emergency Department following a syncopal episode. Whilst in triage she has an episode of bright red hae
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Diarrhoea: Investigations
A 30 year old woman presents to ED with a 2 week history of bloody diarrhoea after returning from a holiday in Morocco. On examination her a
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Pyloric Stenosis: Diagnosis
A 5 week old baby boy is brought to the Emergency Department by his mother. She is worried as he seems constantly hungry and is losing weigh
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Hepatitis B: Serology
A 35 year old woman presents to the Emergency Department complaining of abdominal pain and jaundice. She tells you these symptoms developed
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Peptic Ulcer Disease: Diagnosis
A 35 year old man presents to the Emergency Department with severe upper abdominal pain associated with vomiting. He works as a roofer and h
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Jaundice: Diagnosis
A 28 year old woman presents to ED complaining of fatigue, nausea and right upper quadrant (RUQ) abdominal pain. She has no previous medical
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Hepatitis B: Complications
A 67 year old man presents to the Emergency Department with a 1 month history of weight loss and right upper quadrant pain. He has a past me
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Upper Gastrointestinal Bleed: Clinical Features
A 54 year old man presents to the Emergency Department with a 2 day history of vomiting and epigastric pain. You witness an episode of vomit
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Cirrhosis: Ascites
A 42 year old woman presents to the Emergency Department with a 1 month history of increasing abdominal swelling. On examination you note a
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Inflammatory Bowel Disease: Diagnosis
A 19 year old woman presents to the Emergency Department with tender "lumps" over her lower legs. She has no past medical history but does c
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Cirrhosis: Spontaneous Bacterial Peritonitis
A 46 year old woman presents to the Emergency Department with a 1 day history of abdominal pain and fever. She has a past medical history of
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Foreign Body Ingestion: Management
A concerned father brings in his 3 year old son. He tells you he found his son in his bedroom with the battery compartment cover of one of h
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Pyloric Stenosis: Diagnosis
An 8 week old baby is brought to ED by his parents with complaints of recurrent vomiting. They tell you he seems constantly hungry and vomit
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Diarrhoea: Diagnosis
A 72 year old man is brought to the Emergency Department by carers from his nursing home. They have noted that he has not opened his bowels
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Peptic Ulcer Disease: Risk Factors
A 37 year old man presents to the Emergency Department with severe abdominal pain. On examination you note he is peritonitic. An erect chest
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Cirrhosis: Ascites
A 45 year old man presents to the Emergency Department complaining of abdominal pain and distension. On examination you find shifting dullne
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Pyloric Stenosis: Investigations
A 5 week old baby boy is brought to the Emergency Department by his mother. She is worried as he seems constantly hungry and is losing weigh
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Pyloric Stenosis: Investigations
A 4 week old boy is brought in by his parents with persistent intermittent vomiting. The vomiting is non-bilious, projectile and normally oc
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Clostridium Difficile Infection: Complications
A 67 year old man is sent to the Emergency Department by his General Practitioner (GP) with profuse watery diarrhoea. A stool sample taken b
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Cirrhosis: Spontaneous Bacterial Peritonitis
A 56 year old man presents to the Emergency Department with a 2 day history of abdominal pain and fever. He has a past medical history of al
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