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 upper 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 Perform safe intubation of the upper gastrointestinal tract in a range of patients presenting with dysphagia, chest pain, typical and atypical gastro-oesophageal reflux symptoms, exacerbation of chest conditions (asthma, cystic fibrosis), and conditions including achalasia, Barrett’s oesophagus, scleroderma, non-cardiac chest pain, rumination, laryngopharyngeal reflux, Schatzki’s ring, oesophageal webs.
# 2 Outcome Perform oesphogeal manometry (gaining experience of a range of water- based and solid state systems, including high-resolution manometry) in a range of patients presenting with conditions including achalasia, Barrett’s oesophagus, scleroderma, non-cardiac chest pain, Schatzki’s ring, oesophageal webs.
# 3 Outcome Perform single and dual channel pH and combined pH and impedance monitoring in a range of adult patients presenting with a range of conditions, including gastro-oesophageal reflux, duodenogastric reflux, rumination and laryngopharyngeal reflux.