The Gastrointestinal System
In the objective structured clinical examination (OSCE), you may or may not get one station related to the gastrointestinal (GI) system. Usually the scenario includes a detailed history with relevant physical examination. Abdominal examination is very important for OSCE. You may also be asked to perform an abdominal examination as part of a general surgery scenario. Abdominal pain is a very common and important station for OSCE. It is very important to practice various abdominal pain cases. Some cases have been explained in detail in the General Surgery chapter. Sometimes you may be asked to manage a case of upper or lower gastrointestinal bleeding.
This chapter outlines a few important gastrointestinal cases. In the beginning of the chapter, there is an overview of the history taking, followed by abdominal examination and some common gastrointestinal presentations.
KeywordsGastrointestinal system Dysphagia Upper gastrointestinal bleeding Epigastric pain Lower gastrointestinal bleeding Constipation Diarrhea Jaundice Chronic liver disease Cirrhosis Increased abdominal girth
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