The Specialty certificate in Gastroenterology SCE covers the whole of the curriculum of the specialty training in gastroenterology in the UK. Preparation for this exam requires a wide breadth of knowledge around the curriculum . As knowledge is constantly advancing , awareness of current and updated guidelines is important.This blog is an attempt to pool all resources in one site with regular updates.
Dr Elmuhtady Said
Curriculum for Specialty Certificate Examination in Gastroenterology
The majority of the indices that have been developed to measure disease activity in UC are nonspecific and have not been prospectively validated. Indices may be purely clinical, endoscopic, or histologic, and some combine clinical and endoscopic assessment. Additionally, scores on these indices are often based on various symptoms and signs for which there is no unifed definition. The Truelove and Witts classification of UC is based on the frequency of bowel movements, the amount of blood, the presence of fever and tachycardia, anemia, and the erythrocyte sedimentation rate, all of which are clinical measurements; patients are classified as having mild, moderate, and severe disease. Although it is the oldest index, it is still one of the most commonly used because of its simplicity. The Ulcerative Colitis Disease Activity Index or Sutherland Index gives a numerical score that takes into account not only the clinical measures of stool frequency, rectal bleeding, and physician’s global assessment, but also incorporates sigmoidoscopic appearance; it does not, however, include a histologic subscore. Patients are considered to have fulminant colitis when they have a toxic appearance, a fever higher than 101°F, tachycardia, abdominal distention, signs of peritonitis, and leukocytosis. Although these patients may also have toxic megacolon (radiologic measurement of the transverse colon >6 cm), this is not implicit in the definition of fulminant colitis.
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the liver already present. I started on antiviral medications which reduced the viral load initially. After a couple of years the virus became resistant. I started on HEPATITIS B Herbal treatment from ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their treatment totally reversed the virus. I did another blood test after the 6 months long treatment and tested negative to the virus. Amazing treatment! This treatment is a breakthrough for all HBV carriers.
The majority of the indices that have been developed to measure disease activity in UC are nonspecific and have not been prospectively validated. Indices may be purely clinical, endoscopic, or histologic, and some combine clinical and endoscopic assessment. Additionally, scores on these indices are often based on various symptoms and signs for which there is no unifed definition. The Truelove and Witts classification of UC is based on the frequency of bowel movements, the amount of blood, the presence of fever and tachycardia, anemia, and the erythrocyte sedimentation rate, all of which are clinical measurements; patients are classified as having mild, moderate, and severe disease. Although it is the oldest index, it is still one of the most commonly used because of its simplicity. The Ulcerative Colitis Disease Activity Index or Sutherland Index gives a numerical score that takes into account not only the clinical measures of stool frequency, rectal bleeding, and physician’s global assessment, but also incorporates sigmoidoscopic appearance; it does not, however, include a histologic subscore. Patients are considered to have fulminant colitis when they have a toxic appearance, a fever higher than 101°F, tachycardia, abdominal distention, signs of peritonitis, and leukocytosis. Although these patients may also have toxic megacolon (radiologic measurement of the transverse colon >6 cm), this is not implicit in the definition of fulminant colitis.
ReplyDeleteI was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.
Get consultation for gastric diseases and disorders from Dr. Sandeep Kumar Jha
ReplyDeletebest gastro surgeon in Delhi