Table of Contents

Preface, vii

How to use this book, viii

List of abbreviations, ix

Part 1 Basics, 1

Basic science, 1

Approach to the patient, 14

Part 2 Cases, 29

Upper gastrointestinal

Case 1 A 61-year-old woman with progressive dysphagia, 29

Case 2 A 52-year-old man with atypical chest pain, 34

Case 3 A 57-year-old woman with upper abdominal discomfort, 40

Case 4 A 36-year-old man with upper abdominal discomfort and heartburn, 45

Case 5 A 27-year-old woman with nausea and vomiting, 51

Case 6 A 73-year-old man with haematemesis and melaena, 56

Case 7 A 68-year-old woman with fatigue, weight loss and altered bowel habit, 63

Lower gastrointestinal

Case 8 A 23-year-old woman with constipation, 69

Case 9 A 24-year-old woman with chronic diarrhoea, 74

Case 10 A 51-year-old woman with acute nausea, vomiting and diarrhoea, 80

Case 11 A 79-year-old woman with altered bowel habit and weight loss, 85

Case 12 A 54-year-old man with rectal bleeding, 90

Case 13 A 66-year-old woman with anaemia, 95

Liver disease

Case 14 A 64-year-old man with abnormal liver function tests, 100

Case 15 A 45-year-old man with acute jaundice, 109

Case 16 A 53-year-old woman with jaundice and abnormal liver tests, 115

Case 17 A 53-year-old man with abdominal swelling, 120

Case 18 A 36-year-old man who drinks alcohol, 125

Biliary and pancreatic disease

Case 19 A 79-year-old man with right upper quadrant colicky abdominal discomfort, 131

Case 20 A 19-year-old man with acute abdominal pain, 136

Nutrition

Case 21 A 35-year-old woman with anorexia, 143

Case 22 A 48-year-old man with an increased body mass index, 148

Functional disorders

Case 23 A 21-year-old student with chronic abdominal pain, 153

Part 3 Self-assessment, 159

MCQs, 159

EMQs, 162

SAQs, 166

Answers, 167

Further reading, 173

Index of cases by diagnosis, 175

Index, 177

The colour plate section can be found facing p.54.

About the Author

Satish Keshav is a Consultant Gastroenterologist andHonorary Senior Lecturer at the John Radcliffe Hospitalin Oxford. Emma Culver is a Registrar Gastroenterologist atthe John Radcliffe Hospital in Oxford.