Gastrointestinal history 3
Gastrointestinal history 3
Written by Leya Bedar
Diagnosis:
Irritable bowel syndrome (flatulence, generalised abdominal pain, fluctuating between diarrhoea and constipation, link to anxiety)
Other differentials:
Inflammatory bowel disease – Crohn’s disease/ Ulcerative colitis (possible due to change in bowel habit but less likely due to lack of extra-gastrointestinal manifestations and no blood or mucus in stool)
Bowel cancer (possible due to family history of cancer but unlikely due to lack of systemic features and age)
Watch a medical student practice this scenario here
Mark scheme for history taking can be found below
