Phys Written Answers · gastrointestinal
Nutrition IN Liver AND GI Disease — Written Clinical Reasoning
DCE-style written reasoning for Nutrition IN Liver AND GI Disease.
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Target exams
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]
Model Answer
1. Frame and red flags (3 marks) [1]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]
2. Discriminating assessment (3 marks) [2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]
3. Treatment sequence (4 marks) [1] [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]
4. Follow-up and communication (2 marks) [2]
Disposition, safety-net advice, and who owns follow-up. [1] [2]
References6ShowHide
- [1]Alali M, Naveed AK, Alnounou A, Alharami M, et al. Beyond Endoscopy: A Narrative Review of the Emerging Role of Gastroenterologists in Obesity Medicine, GLP-1 (Glucagon-Like Peptide-1) Therapy, and Metabolic Care Cureus, 2026.PMID 42382903
- [2]Budai BC, Panait R, Laczkó B, Cai G, et al. Immunonutrition Decreases Postoperative Complications in Gastrointestinal Cancer-A Systematic Review and Meta-analysis of Randomized Controlled Trials Adv Nutr, 2026.PMID 42331289
- [3]Hadzic N, Dionisi-Vici C, Vara R Current status in paediatric liver transplantation for inherited metabolic diseases J Pediatr Gastroenterol Nutr, 2026.PMID 42328777
- [4]Wunderle C, Gomes F, Schuetz P, et al. ESPEN guideline on nutritional support for polymorbid medical inpatients Clin Nutr, 2023.PMID 37478809
- [5]Bischoff SC, Bernal W, Dasarathy S, et al. ESPEN practical guideline: Clinical nutrition in liver disease Clin Nutr, 2020.PMID 33213977
- [6]Matthews-Rensch K, Blackwood K, Lawlis D, et al. The Australasian Society of Parenteral and Enteral Nutrition: Consensus statements on refeeding syndrome Nutr Diet, 2025.PMID 40090863