InnovAiT 2008 1(9):623; doi:10.1093/innovait/inn142
© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org
AKT questions—Gastroenterology
The following patients all presented to primary care with abdominal
pain and diarrhoea. Choose the ‘one’ option which
would be most appropriate initial management in primary care.
Each option may be used once, more than once or not at all.
 |
Options
|
|---|
- A. Amitriptyline
- B. Ciprofloxacin
- C. Iron
- D. Mebeverine
- E. 5-ASA derivative (e.g. Mesalazine)
- F. Prednisolone
- A 35-year-old male nurse presents for the first time. He seems extremely anxious. His pain is relieved by defecation and he has had no rectal bleeding or weight loss.
- A 30-year-old female secretary who has associated blood and mucus for 3 weeks. Stool sample is negative. Her weight is steady but she feels washed out. Her inflammatory markers are marginally raised. She is awaiting an urgent gastroenterology opinion.
- A 40-year-old female nurse with a 6-month history of diarrhoea with no bleeding. She has mild iron deficiency.
- A 23-year-old male student with known Crohn's colitis. He has a gastroenterology appointment in a month but his symptoms are worse in that he is having his bowels open four times daily.
- A 30-year-old female divorcee with a history of fibromyalgia. She has associated ‘terrible’ bloating and intermittent diarrhoea. She has weight gain and states that her mother died of bowel cancer aged 71. She has had no rectal bleeding.
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