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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.

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