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Gastrointestinal System

From Mediwikis

History

Examination

Investigations

Core Conditions

Other notable conditions

These aren't in the FoCP syllabus, but remain important.

Achalasia

The Lower Oesophageal Sphincter remains tense, causing dysphagia, regurgitation & substernal cramps. Investigate using a Barium Swallow, and treat using endoscopic balloon dilatation

Hereditary Haemochromatosis

Dysregulation of Iron metabolism, shown by tiredness, arthralgia, Diabetes Mellitus, and signs of chronic liver disease (Jaundice). It is delineated from other liver diseases by Increased Ferritin and Iron, and Decreased TIBC

α1-Antitrypsin Deficiency

Hereditary Liver Disease causing Liver Disease, Airways Disease (like COPD) and HCC (hepatocellular carcinoma)

Oesophageal Cancer

Risk factors include GORD, smoking, alcohol, Barrett's oesophagus. 20% are located in the upper tract, 50% in the middle, 30% in lower.

Benign Oesophageal Stricture

Caused by GORD, treat with balloon dilatation

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See Also