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SAQ-Gastroenterology

The boxed questions are the four you are to do to time and bring to teaching.
Please use a timer (60 min for 4 questions) as a perfect 18 minute answer is an incomplete and failing 15 minute answer.

2003/2/SAQ 7: An 74 year old man is brought in by ambulance with light headedness and malaena. He reports a 24 hour history of malaena, with a small amount of bright bleeding prior to calling an ambulance. He has a past history of abdominal aortic aneurysm treated by endoluminal stenting 10 months previously at another hospital. His vital signs are a pulse of 80, blood pressure of 135/85 and a GCS of 15. Describe your assessment of this man (50%). Describe your management of this man (50%).

2005/1/SAQ 2: A 76 year old female with a history of controlled atrial fibrillation presents to the emergency department with severe central abdominal pain of 2 hours duration. Describe your assessment of this patient (100%).

2005/2/SAQ 7: A 26 year old woman on maintenance steroids for ulcerative colitis presents to the emergency department with a 12 hour history of abdominal pain. Describe your assessment of this woman. (100%)

2006/1/SAQ 5: A 46 year old alcoholic presents with a large haematemesis. He is haemodynamically unstable. Describe your management. (100%)

worked answers

2011/1/7: A patient attends to the emergency department following an episode of haematemesis. He is tremulous and confused. He has a past history of liver disease and oesophageal varices secondary to chronic alcohol abuse. He has the following vital signs; GCS: 13 (E4 M6 V3), HR: 125/min, BP: 95/40mmHg, Temperature: 35.5oC, O2 Saturation: 99 % on 6L O2 by Hudson mask. Describe your management of this patient. (100%) 

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