CSFC GI

Question 1

GI History: Presenting Complaints (10)

Answer 1

• Dysphagia and Odynophagia
• Dyspepsia (Heartburn and Acid Reflux)
• Nausea/Vomiting and Haematemsis
• Abdominal Pain
• Altered Bowel Habit
• Rectal Bleeding and Malaena
• Abdominal Distension: 5 Fs and 1 T
• Anorexia and Weight Loss
• Jaundice
• Anaemia

Question 2

GI History: Past Medical History

Answer 2

• Previous surgical history: upper/lower GI, urological,
  pelvic
• Admissions to hospital: obstruction, perforation, GI
  bleed, infection, constipation, upper/lower GI
  endoscopy
• Chronic Conditions: IBS, IBD, cancer, coeliac disease,
  diverticular disease, CLD (alcoholic or not)
• Associated conditions: polyps, herniae, gallstones

Question 3

GI History: Drugs for Upper GI Tract (3)

Answer 3

• PPI, OTC antacids
• H2 antagonists
• Antiemetics

Question 4

GI History: Drugs for Lower GI Tract (3)

Answer 4

• Laxatives
• Anti-diarrhoeal
• Anti-spasmodics

Question 5

GI History: Rectal Treatments (3)

Answer 5

• Creams
• Suppositories
• Enemas

Question 6

GI History: GI side-effects and drugs that can cause them- Bleeding (4)

Answer 6

• Aspirin
• Clopidogrel
• Warfarin
• DOAC

Question 7

GI History: GI side-effects and drugs that can cause them- Diarrhoea (2)

Answer 7

• Metformin
• PPIs

Question 8

GI History: GI side-effects and drugs that can cause them- Constipation (2)

Answer 8

• Opiates
• TCAs

Question 9

GI History: GI side-effects and drugs that can cause them- Liver Damage (3)

Answer 9

• Penicillins
• Paracetamol
• Statins

Question 10

GI History: Immunosuppressants that are commonly taken (6)

Answer 10

• Steroids
• Azathioprine
• Mesalasine
• Ciclosporin
• Sulfasalazine
• Biologics

Question 11

GI History: Family History (6)

Answer 11

• Inflammatory bowel disease (IBD)
• Coeliac Disease
• Familial Adenomatous Polyposis (FAP)
• Hereditary non-polyposis colorectal cancer (HNPCC)
• Haemochromatosis
• Α-1 antitrypsin deficiency + liver cirrhosis

Question 12

GI History: 🚩 Red Flags 🚩 (7)

Answer 12

• Persistent vomiting
• Absolute constipation
• Dysphagia
• Unexplained weight loss
• GI bleeding
• Persistent change in bowel habit
• Anaemia – iron deficiency/Hb <100g/L*