Competency information

Details

Obtain a clinical history as appropriate for each type of investigation, allowing the patient time to describe symptoms and document full relevant history.

Considerations

  • Framework for clinical history taking.
  • Normal and abnormal pathology of the lower gastrointestinal system.
  • The importance of checking for patient allergies in case they are not already documented, specifically latex and local anaesthetics.

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).
# 2 Outcome Perform rectal digital examination to ensure safe rectal intubation with manometric and ultrasound equipment.
# 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.