 
Class of 2017
 Go Back | | Session Title: | | SURG: Gastrointestinal Tract Malignancy | | | | Description: | | | | Keywords: |
| Blueprint ID | Learning Objectives | | 1093 | Gather a complete or problem-focused history with emphasis on the following: (a) characterization of pain (location, severity, character, pattern) (b) temporal sequence (onset, frequency, duration, progression) (c) alleviating/exacerbating factors (position, food, activity, medications) (d) associated signs/symptoms (nausea, vomiting, fever, chills, anorexia, weight loss, cough, dysphagia, dysuria/frequency), altered bowel function (diarrhea, constipation, obstipation, hematochezia, melena, etc.) (e) pertinent medical history: prior surgery or illness, associated conditions (pregnancy, menstrual cycle, diabetes, atrial fibrillation or cardiovascular disease, immunosuppression) (f) medications: anticoagulation, steroids, etc. | | 1094 | Demonstrate the components of a complete abdominal examination including rectal, genital, and pelvic examinations. Relate the significance of the various component examinations: observation, auscultation, percussion, and palpation as they apply to common abdominal pathologic processes. Examples: distention, visible peristalsis, high- pitched or absent bowel sounds, tympany, mass, localized vs. generalized guarding, and/or rebound tenderness. | | 1095 | Characterize examination skills that may be utilized in pregnancy or in patients with altered neurologic status. | | 1096 | Develop a differential diagnosis for various patients presenting with acute abdominal pain. Differentiate based on the following: (a) location: RUQ, epigastric, LUQ, RLQ, LLQ (b) symptom complex, e.g., periumbilical pain localizing to RLQ, acute onset left flank pain with radiation to the testicle, etc. (c) age: pediatric, adult, geriatric (d) associated conditions: pregnancy, immunosuppression (AIDS, transplant, chemotherapy/radiation therapy). | | 1097 | Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain. (a) laboratory: CBC, amylase, electrolytes, BUN, creatinine, glucose, urinalysis, beta-HCG, liver profile (b) diagnostic imaging: flat and upright abdominal radiographs, upright chest X-ray, abdominal ultrasonography, CT scan of abdomen and pelvis, GI contrast radiography, angiography, IVP (c) special diagnostic/interventional techniques: upper endoscopy, procto-sigmoidoscopy, colonoscopy, laparoscopy | | 1098 | Outline the initial management of a patient with an acute GI hemorrhage. Discuss indications for transfusion, fluid replacement, and choice of fluids. | | 1099 | Differentiate upper vs. lower GI hemorrhage. | | 1100 | Discuss the difference in evaluation and management of a patient presenting with the following: (a) hematemesis (b) melena (c) hematochezia (d) guaiac positive stool | | 1101 | Discuss, in general, the differential diagnosis for a patient with emesis, including timing and character. | | 1102 | Describe the clinical presentation and etiologies of gastric outlet obstruction. | | 1103 | Describe the types of neoplasms that occur in the stomach, and discuss the diagnosis and prognosis for each. | | 1104 | Describe the signs and symptoms of small bowel obstruction. | | 1105 | Describe the common etiologies of mechanical small bowel obstruction, including less frequent causes, such as small bowel tumours. | | 1106 | Obtain a focused history and physical examination including rectal/genital and pelvic examinations with emphasis on characterization of findings, differentiation of signs/symptoms of peritonitis and adjunctive maneuvers to enhance diagnostic abilities. | | 1107 | Interpret laboratory findings and various imaging modalities that contribute to the diagnosis of common abdominal problems. Consider plain films of the abdomen, CT scans, ultrasound, etc. | | 1108 | Demonstrate correct placement of the following: (a) nasogastric tubes (b) peripheral intravenous catheters (c) venipuncture and insertion of Foley catheters | | |
| Blueprint ID | Course Goals | | 10387 | EPA 1 (AAMC): Gather a history and perform a physical examination
Linked Program Competencies
To This Course Goal: me-1 me-2 me-6 cm-1 cm-2 ha-1 pr-1 | | 10388 | EPA 2 (AAMC): Prioritize a differential diagnosis following a clinical encounter
Linked Program Competencies
To This Course Goal: me-4 me-6 cm-1 cm-2 cm-6 co-2 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1 | | 10390 | EPA 4 (AAMC): Enter and discuss orders and prescriptions
Linked Program Competencies
To This Course Goal: me-5 me-6 cm-3 cm-4 cm-5 cm-6 co-2 co-3 ld-2 ld-3 ha-3 sc-2 pr-1 | | 10391 | EPA 5 (AAMC): Document a clinical encounter in the patient record
Linked Program Competencies
To This Course Goal: me-1 me-2 me-3 me-4 me-5 me-6 cm-5 cm-6 co-1 co-3 ld-3 pr-1 | | 10393 | EPA 7 (AAMC): Form clinical questions and retrieve evidence to advance patient care
Linked Program Competencies
To This Course Goal: me-6 cm-3 cm-5 cm-6 ld-2 ld-3 sc-1 sc-2 sc-3 pr-1 | | 10396 | EPA 10 (AAMC): Recognize a patient requiring urgent or emergent care and initiate evaluation
Linked Program Competencies
To This Course Goal: me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 cm-6 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-3 sc-1 sc-2 pr-1 | | 10398 | EPA 12 (AAMC): Perform general procedures of a physician
Linked Program Competencies
To This Course Goal: me-3 me-5 me-6 cm-1 cm-3 cm-4 cm-5 cm-6 co-1 co-3 ld-2 sc-1 sc-2 pr-1 | | me-1 | Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation. | | me-2 | Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation. | | me-6 | Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem. | | cm-1 | Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families. | | cm-2 | Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals. | | ha-1 | Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes. | | pr-1 | Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards. | | me-4 | Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient. | | cm-6 | Communicator
Discuss effective strategies for communicating with third parties other than health care professionals. | | co-2 | Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations. | | ha-2 | Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized. | | sc-1 | Scholar
Develop a plan for personal continued education. | | sc-2 | Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice. | | sc-3 | Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility. | | me-5 | Medical Expert
Develop a management plan for key clinical problems following assessment of a patient. | | cm-3 | Communicator
Discuss relevant health care information and management plans with patients and their families. | | cm-4 | Communicator
Develop a shared plan of care with patients, their families, and other health care professionals. | | cm-5 | Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter. | | co-3 | Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role). | | ld-2 | Leader
Apply evidence and management processes to effectively allocate health care resources. | | ld-3 | Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system. | | ha-3 | Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels. | | me-3 | Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation. | | co-1 | Collaborator
Demonstrate effective collaboration skills within the health care system. | | ld-1 | Leader
Identify strategies to effectively manage practice and career. |
| (042-1) ANEMIA | | (006-2) LOWER GASTROINTESTINAL BLEEDING | | (016-1) ADULT CONSTIPATION | | (006-1) UPPER GASTROINTESTINAL BLEEDING | | (003-2) ACUTE ABDOMINAL PAIN | | (003-4) ANORECTAL PAIN | | (003-3) CHRONIC ABDOMINAL PAIN | | (026) DYSPHAGIA | | (031-1) FRAILTY IN THE ELDERLY | | (002) ABDOMINAL / PELVIC MASS | | (001) ABDOMINAL DISTENSION |
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