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Gastroenterology on the move PDF

274 Pages·2016·19.953 MB·English
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Download the VitalSource ® ebook Gastroenterology + Optimized for quick reference online and offline on your iPhone®/iPod Touch®/iPad®, Kindle Fire or Android™ device, PC or MAC + Enhanced with time-saving tools including search and cross-referencing + Uses VitalSource Bookshelf, the preferred and most used e-textbook platform in higher education today See the inside front cover for details of how to access your ebook now! The Medicine on the Move series provides fully flexible access to subjects across the curriculum in a combination of print and ebook formats ideal for the busy medical student and junior doctor. No matter what your learning style, whether you are studying a subject for the first time or revisiting it during exam preparation, Medicine on the Move gives you the right information whenever and wherever you need it. Medicine on the Move is • Mobile – download the ebook for use on your smartphone, tablet or computer; or access ‘on demand’ anywhere with an Internet browser • Accessible – bulleted text, flow charts, colourful diagrams and summary tables enable you to find information fast • Concise – gives you ‘must have’ rather than ‘nice to have’ knowledge, ensuring exam success and as a grounding for further study Authors: Arash Assadsangabi, • Fguleidxeib yleo u– qnuoitceksly s etoc tkioeny sp, oiidnetas lw fhoirl er aspeildf- aressfeesrsemnceen ti nm tahtee rcialiln aicllaolw sse tytoinug , Lucy Carroll and Andrew Irvine n c l uded to test and reinforce your understanding Editorial Advisor: Keith Dear i s • Relevant – designed by medical students for medical students s e Choose from the book and the ebook to suit different situations and you really c will learn medicine on the move! c a k K23874 ISBN: 978-1-4822-5244-6 o 90000 o b 9 781482252446 E K23874_Cover.indd All Pages 10/6/15 2:02 PM Gastroenterology on the move Gastroenterology on the move Authors: Arash Assadsangabi, Lucy Carroll and Andrew Irvine Editorial Advisor: Keith Dear CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2016 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20150909 International Standard Book Number-13: 978-1-4822-5245-3 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reason- able efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publish- ers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to con- sult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or mate- rials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this pub- lication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, trans- mitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright. com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Preface ix Acknowledgements xi List of abbreviations xiii List of figures xvii An explanation of the text xix Part I GaStrOENtErOLOGY 1 1. Common upper GI presentations 5 1.1 Dyspepsia 5 1.2 Dysphagia 8 1.3 Upper GI bleeding 10 1.4 Vomiting 14 2. Common small bowel presentations 21 2.1 Malabsorption 21 2.2 Weight loss 26 2.3 Malnutrition 29 3. Common colonic presentations 39 3.1 Diarrhoea 39 3.2 Constipation 43 3.3 Rectal bleeding (lower GI bleeding) 46 3.4 Iron deficiency anaemia 48 3.5 Abdominal pain 51 4. Common liver presentations 55 4.1 Jaundice 55 4.2 Liver failure 60 4.3 Alcohol withdrawal 63 4.4 Liver mass 66 4.5 Abnormal liver function tests 68 5. Oesophagus 73 5.1 Anatomy 73 5.2 Gastro-oesophageal reflux disease 74 5.3 Barrett’s oesophagus 76 5.4 Hiatus hernia 78 5.5 Achalasia 80 5.6 Oesophageal spasm 82 5.7 Oesophageal cancer 84 vi Contents 6. Stomach and duodenum 89 6.1 Anatomy 89 6.2 Physiology 90 6.3 Peptic ulcer disease 90 6.4 Gastritis 94 6.5 Pernicious anaemia 96 6.6 Gastroparesis 99 6.7 Gastric cancer 101 7. the small bowel 107 7.1 Anatomy 107 7.2 Physiology 108 7.3 Coeliac disease 110 7.4 Whipple’s disease 115 7.5 Small intestine bacterial overgrowth 116 7.6 Gastrointestinal infections 118 7.7 Lactose intolerance 127 7.8 Small bowel tumours 128 8. Colorectal disease 133 8.1 Anatomy 133 8.2 Irritable bowel syndrome 134 8.3 Inflammatory bowel disease 137 8.4 Crohn’s disease 139 8.5 Ulcerative colitis 141 8.6 Diverticular disease 144 8.7 Ischaemic colitis 146 8.8 Solitary rectal ulcer syndrome 148 8.9 Pseudomembranous colitis 150 8.10 Colorectal cancer 153 9. Pancreatobiliary disease 159 9.1 Anatomy 159 9.2 Physiology 160 9.3 Cholelithiasis 162 9.4 Gallbladder carcinoma 167 9.5 Cholangiocarcinoma 169 9.6 Acute pancreatitis 170 9.7 Chronic pancreatitis 173 9.8 Pancreatic cancer 175 10. Liver disease 179 10.1 Anatomy 179 10.2 Viral hepatitis 182 10.3 Autoimmune hepatitis 189 Contents vii 10.4 Primary biliary cirrhosis 190 10.5 Primary sclerosing cholangitis 191 10.6 Drug-induced liver injury 193 10.7 Alcohol-related liver disease 195 10.8 Non-alcoholic fatty liver disease 200 10.9 Hereditary haemochromatosis 203 10.10 Wilson’s disease 205 10.11 Hepatocellular carcinoma 207 10.12 Metastatic liver disease 209 10.13 Budd–Chiari syndrome 210 10.14 Veno-occlusive disease 212 10.15 Portal vein thrombosis 213 Part II SELF-aSSESSMENt 217 11. Gastroenterology 219 Questions 219 Common upper GI presentations: EMQ 219 Common upper GI presentations: SBA 220 Common small bowel presentations: EMQ 220 Common small bowel presentations: SBA 221 Common colonic presentations: EMQ 221 Common colonic presentations: SBA 222 Common liver presentations: EMQ 222 Common liver presentations: SBA 223 Oesophagus: EMQ 223 Oesophagus: SBA 224 Stomach and duodenum: EMQ 225 Stomach and duodenum: SBA 226 The small bowel: EMQs 227 The small bowel: SBA 228 Colorectal disease: EMQs 229 Colorectal disease: SBAs 231 Pancreatobiliary disease: EMQ 232 Pancreatobiliary disease: SBA 232 Liver disease: EMQs 233 Liver disease: SBA 235 Answers 236 Common upper GI presentations: EMQ 236 Common upper GI presentations: SBA 236 Common small bowel presentations: EMQ 237 Common small bowel presentations: SBA 237 Common colonic presentations: EMQ 238 viii Contents Common colonic presentations: SBA 239 Common liver presentations: EMQ 239 Common liver presentations: SBA 240 Oesophagus: EMQ 240 Oesophagus: SBA 241 Stomach and duodenum: EMQ 241 Stomach and duodenum: SBA 242 The small bowel: EMQs 243 The small bowel: SBA 244 Colorectal disease: EMQs 245 Colorectal disease: SBAs 247 Pancreatobiliary disease: EMQ 247 Pancreatobiliary disease: SBA 248 Liver disease: EMQs 248 Liver disease: SBA 250

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