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110 symptom-led topics across inflammatory bowel disease, general gastroenterology and acute on-call practice.
IBD clinic guides (23) Day-to-day questions that come up in an IBD clinic, from interpreting activity scores to managing extraintestinal problems.
What is IBD Signs of a Crohn Flare of proctitis Clinical scores and how to use them Bloating and IBS symptoms in IBD Approach to joint pain Approach to skin rash Fatigue in IBD Anaemia in IBD Vitamin D deficiency and how to treat it PSC with IBD Deranged LFTs in IBD Pancreatitis in an IBD patient Maintenance of care Discussing malignancy risk IBD when cancer develops Symptoms patients do not volunteer Transition from paediatric to adult care How to discuss diet Malnutrition assessment and intervention Pets and animal contact Pregnancy in IBD and drug safety IBD in a patient with sickle cell disease General gastroenterology clinic guides (42) Symptom-led approaches across luminal gastroenterology, hepatology and pancreatobiliary disease.
Dysphagia Odynophagia GERD Non-cardiac chest pain Throat irritation and chronic sore throat Globus sensation Halitosis Dyspepsia Helicobacter pylori Nausea and vomiting Early satiety and postprandial fullness Gastric polyps Gastric intestinal metaplasia Chronic diarrhoea Celiac disease Steatorrhoea and foul-smelling stool Bloating and gas Post-bariatric GI symptoms Constipation Irritable bowel syndrome Blood in the stool Rectal pain Faecal incontinence Diverticular disease Microscopic colitis Abnormal liver tests Hepatitis B: HBsAg is positive HBV before immunosuppression and reactivation Hepatitis C: antibody is positive MASLD: fatty liver on imaging Alcohol-associated liver disease Alcohol-associated hepatitis Coffee-ground emesis Coffee-ground NG or OG tube aspirate Haematemesis Melaena Haematochezia Occult bleeding and iron deficiency anaemia Suspected small-bowel bleeding Does this patient need a colonoscopy? Pre-bariatric OGD Pre-transplant OGD On-call and overnight guides (45) Acute problems as they present out of hours, written for the clinician holding the bleep.
Coffee-ground emesis Coffee-ground NG or OG aspirate GI bleeding on anticoagulation New ascites Abdominal distension Cardiac versus hepatic cirrhosis Abnormal liver tests overnight High bilirubin with raised ALT or AST Cholestatic liver profile Fatty liver reported on imaging Cholestatic LFTs with a dilated CBD Suspected choledocholithiasis Acute cholangitis Jaundice with fever Acute pancreatitis Pancreatitis with fever Pancreatic fluid collection Non-cardiac chest pain Throat symptoms attributed to reflux Halitosis Abnormal liver tests in pregnancy HBsAg positive overnight HCV antibody positive overnight Heavy alcohol use with new jaundice Alcohol-associated hepatitis with fever Severe alcohol-associated hepatitis Suspected variceal bleeding in cirrhosis Melaena with normal observations Fresh rectal bleeding overnight Major lower GI bleeding with instability Bleeding after polypectomy Lower GI bleeding on anticoagulants or antiplatelets Acute severe ulcerative colitis: the admission call Day 3 of intravenous steroids Rescue therapy: infliximab or ciclosporin Toxic dilatation and the surgical abdomen Clostridioides difficile and CMV in acute colitis Impacted food bolus New dysphagia reported overnight Odynophagia and suspected oesophagitis Suspected oesophageal perforation Acute colonic pseudo-obstruction (Ogilvie syndrome) Small bowel obstruction in known Crohn Large bowel obstruction from a suspected tumour Sigmoid volvulus Open the guides Each topic opens inside IBD Care with its full approach, investigations and references. Guides summarise published guidance and are not a substitute for individual clinical judgement.
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