Phys Clinical Cases · gastrointestinal
Functional GI Disorders — DCE Clinical Case
DCE long-case and short-case station for Functional GI Disorders.
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Target exams
Functional GI Disorders — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Functional GI Disorders. [1]
Presenting complaint: Subacute or acute symptoms referable to Functional GI Disorders, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Functional GI Disorders, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Berschback M, Varayil JE, Stout J Malnutrition and Sarcopenia in Gastrointestinal Motility Disorders: Mechanisms, Assessment, and Management Curr Gastroenterol Rep, 2026.PMID 42467137
- [2]Bananis K, Mor R, Voros C, Gandhi R, et al. Bariatric Surgery as a Bridge to Kidney Transplantation in Patients with Obesity and Advanced Chronic Kidney Disease or End-Stage Renal Disease: A Systematic Review Obes Surg, 2026.PMID 42463851
- [3]Zhang H, Adjah J, Kapse B, Affinass N, et al. Differential generation of parasite-specific Th2 and T follicular helper cells distinguishes resistant and susceptible mouse strains Front Immunol, 2026.PMID 42459657
- [4]Votto M, Olcese R, De Filippo M, Caminiti L, et al. Gastrointestinal manifestations during oral immunotherapy: A guide for pediatric allergists Pediatr Allergy Immunol, 2026.PMID 42430571
- [5]Takahashi H, Dehal A, In H, Kwon S, et al. Biomarker-Driven Management of Nonmetastatic GEJ Adenocarcinoma Ann Surg Oncol, 2026.PMID 42141340
- [6]Giustina A, di Filippo L, Fleseriu M, Pivonello R, et al. Consensus on acromegaly complications: an update Pituitary, 2026.PMID 42050227
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005