Gastrointestinal, hepatic and biliary system

Custodian: Dr. Jessica Monteiro
Reviewer:

ROYAL COLLEGE OBJECTIVES: GASTROINTESTINAL, HEPATIC AND BILIARY SYSTEM

1. Symptoms and signs
   • Abdominal pain, acute and chronic
   • Constipation and encopresis
   • Diarrhea
   • Dysphagia and feeding difficulties
   • Hepatomegaly
   • Intestinal bleeding
   • Intestinal obstruction
   • Jaundice
   • Vomiting and regurgitation
2. Conditions
   • Abdominal masses
   • Congenital malformations of the gastrointestinal tract and abdominal cavity, including complications of surgical repair
   • Disorders of gastrointestinal motility
   • Functional disorders
   • Esophagitis, gastroesophageal reflux and peptic ulcer disease
   • Inflammatory bowel disease
   • Malabsorption syndromes, including celiac disease
   • Pyloric stenosis
   • Short gut syndrome and intestinal failure
   • Congenital and acquired disorders of the liver and biliary tract
   • Liver transplantation, including long term health sequelae
   • Congenital and acquired pancreatic disorder

USEFUL WEBSITES

1. North American Society For Pediatric Gastroenterology, Hepatology & Nutrition: https://naspghan.org/professional-resources/clinical-guidelines/. Includes useful clinical practice guidelines
2. Canadian Pediatric Society: https://www.cps.ca/en/documents/authors-auteurs/nutrition-and-gastroenterology-committee. Position statements and practices points from the nutrition and gastroenterology committee.

PRACTICE QUESTIONS

1. Cards: On-line cases that aid in development of clinical reasoning
   • Abdominal Pain: http://cards.ucalgary.ca/deck/204
   • Diarrhea: https://cards.ucalgary.ca/deck/277
   • Diarrhea - Diagnosis: https://cards.ucalgary.ca/card/804155
   • Diarrhea - Investigations: https://cards.ucalgary.ca/card/804162
   • Diarrhea - Management: https://cards.ucalgary.ca/card/804163
   • Vomiting: https://cards.ucalgary.ca/deck/236
   • Vomiting - Diagnosis: https://cards.ucalgary.ca/deck/301
   • Vomiting - Investigations: https://cards.ucalgary.ca/deck/404
   • Vomiting - Management: https://cards.ucalgary.ca/deck/405

LECTURES AND REVIEW ARTICLES