Competency information
Details
Review the results from each type of investigation, taking into account artefacts, necessary adjustments of values and planned/unplanned events occurring during the test.
Considerations
- Identification of common artefacts.
- The effect and implications of artefacts on the investigation results and the actions needed to be taken to rectify them.
- Normal anatomy and physiology of the lower gastrointestinal system.
- Endoanal ultrasound:
- normal ultrasound anatomy of the anorectum
- identification of the subepithelium, internal anal sphincter (IAS) and external anal sphincter (EAS) during ultrasound investigation
- awareness of sex- and age-related differences with regard to the sphincter complex
- assessment of the sphincter symmetry and make appropriate measurements
- identification of defects within the anal canal and sphincter complex in all planes
- colonic motility.
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 | Outcome Continue to perform and produce reports on non-invasive breath tests (hydrogen, methane – if there is a methane analyser available – and urea breath testing). |
| # 3 | Outcome Perform anorectal manometry procedures in patients presenting with a range of conditions, for example obstetric trauma, pre- and post-surgical defaecatory problems, slow transit constipation, obstructive defaecation, neurological disorders. |
| # 4 | Outcome Perform endoanal ultrasound investigations in patients presenting with a range of conditions, including obstetric and surgical trauma, sepsis, fissures, faecal incontinence and obstructive defaecation. |