Applied Science for Medicine Anatomy of the rectum, anal canal, perineum and anus Physiology of faecal continence Fistula pathogenesis Differentiate pathology of Crohn's disease from ulcerative colitis Microbiology of human papilloma virus (HPV) Pharmacology of glyceryl trinitrate (GTN) ointment, metronidazole, fluoroquinolones
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Clinical and Communication Skills History from a patient with rectal bleeding; seek information relevant to inflammatory bowel disease Take a sexual history in a sensitive manner Perform examination of abdomen, perineum and anus including rectal examination Differential diagnosis of perianal pathology Indications for colonoscopy, rigid sigmoidoscopy, CT and MRI Interpret relevant investigations including full blood count, coagulation screen, electrolytes, creatinine, liver function tests, CRP Management of fistulae, fissures, perianal abscess, anal prolapse, haemorrhoids, faecal incontinence, ano-genital warts Psychological and social impact of incontinence Management of inflammatory bowel disease and its complications Role of the inflammatory bowel disease/colorectal nurse specialist, dietitian
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