Gastroenterology - Patient assessment with Ian Allwood - Part 2

05/27/23 • 45 min

Richard and Emma welcome back Dr Ian Allwood who is a GPwSI in gastroenterology. We would highly recommend listening to episode one where Ian discus's his process to assess abdominal pain.
Dr Ian Allwood discus's gastroenterology patient presentations which include perinate history taken, appropriate examination and investigations. The cases include :-
Change in bowel habit,
Nausea / vomiting
and rectal bleeding.
Please follow us on twitter for updates @FCPParamedicpod
Always great to here comments about the episodes. Our guests give up their time to record these episodes so please feel free to leave feedback on the episode.
As always special thanks to Martin and Scott for your assistance.
Primary Care Society for Gastroenterology
PCSG – The Primary Care Society for Gastroenterology
Ingest podcast - from the PCSG
Ingest Podcasts – PCSG
Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedics
Primary and Urgent Care (collegeofparamedics.co.uk)
Rome Criteria
Rome IV Diagnostic Criteria for Irritable Bowel Syndrome (IBS) - MDCalc
NICE DG30 for Quantitative Faecal Immunochemical Test
Overview | Quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care | Guidance | NICE
NG12 Guideline for suspecting cancer
Recommendations organised by site of cancer | Suspected cancer: recognition and referral | Guidance | NICE
Offer testing with quantitative faecal immunochemical tests
NICE diagnostics guidance on quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care
Recommends to assess for colorectal cancer in adults without rectal bleeding who:

are aged 50 and over with unexplained:
- abdominal pain or
- weight loss, or
are aged under 60 with:
- changes in their bowel habit or
- iron-deficiency anaemia, or
are aged 60 and over and have anaemia even in the absence of iron deficiency.

Joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG)
Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) | Gut (bmj.com)
Patient advice for FIT
fit_symptomatic_patient_leaflet_feb20

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are aged 50 and over with unexplained:
- abdominal pain or
- weight loss, or
are aged under 60 with:
- changes in their bowel habit or
- iron-deficiency anaemia, or
are aged 60 and over and have anaemia even in the absence of iron deficiency.

Previous Episode

Gastroenterology - Patient Assessment with Dr Ian Allwood - Part 1

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Richard and Emma welcome Dr Ian Allwood who is a experienced GP with a specialist interest in gastroenterology.
Dr Ian Allwood discusses the assessment of patient's presenting with gastroenterology complaints including a overview of taking abdominal pain history, epigastric pain and distension.
Please follow us on twitter for updates @FCPParamedicpod
Always great to here comments about the episodes. Our guests give up their time to record these episodes so please feel free to leave feedback on the episode.
As always special thanks to Martin and Scott for your assistance.
Primary Care Society for Gastroenterology
PCSG – The Primary Care Society for Gastroenterology
Ingest podcast - from the PCSG
Ingest Podcasts – PCSG
Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedics
Primary and Urgent Care (collegeofparamedics.co.uk)Abnormal Liver Fuction
Guidelines on the management of abnormal liver blood tests - The British Society of Gastroenterology (bsg.org.uk)

Next Episode

Dermatology Assessment - With Dr David Lupini - Part 1

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Richard and Emma welcome Dr David Lupini who is a GPwSI in Dermatology. Dr Lupini discus's his approach to patient presenting with skin complaints. Dr Lupini then applies his assessment to a single site rash. He discus's potential differential diagnosis and clinical reasoning in the assessment of skin presentation.
Please feel free to leave comments and follow us on twitter @FCPParamedicpod. Dr Lupini kindly gave up his own time for these podcasts, please join Richard and Emma thanking him for sharing his knowledge and experience.
As always special thanks to Martin and Scott for your input.
The Primary Care Dermatology Society
The Primary Care Dermatology Society | UK (pcds.org.uk)
British Association of Dermatologists
Home Page - British Association of Dermatologists (bad.org.uk)
Dermnet
DermNet | Dermatology Resource (dermnetnz.org)