Phys Vivas · gastrointestinal
GI Investigation Endoscopy Capsule Liver Biopsy Elastography — Viva Defence
DCE viva defence for GI Investigation Endoscopy Capsule Liver Biopsy Elastography.
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GI Investigation Endoscopy Capsule Liver Biopsy Elastography Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as GI Investigation Endoscopy Capsule Liver Biopsy Elastography. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up."[3]
Examiner questions
Q1: "What makes this urgent?"
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up."[4]
Q2: "What is your first investigation package?"
"I order tests that change management now, not a scattergun panel."[5]
Q3: "Walk me through treatment."
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [3]
Q4: "What is the classic trap?"
"Treating a label without confirming the discriminating mechanism, or delaying escalation."[6]
References6ShowHide
- [3]Jourdain A, Leenhardt R, Popa I, Dray X Hemorrhagic jejunal vascular malformations with loop telangiectasia in Turner's syndrome Clin Res Hepatol Gastroenterol, 2026.PMID 41655792
- [4]Muggleston D, O'Grady G, Varghese C, Andrews C Artificial Intelligence in Gastrointestinal Motility Diagnostics: A Systematic Review Neurogastroenterol Motil, 2026.PMID 41933458
- [5]Triester SL, Leighton JA, Leontiadis GI, et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding Am J Gastroenterol, 2005.PMID 16279893
- [6]Bester EV, Chen W, van der Mijle Meijer JK, Ligtenberg LW, et al. Dynamic Modeling of a Magnetic Video Capsule for Enhanced Navigation in the Gastrointestinal Tract Annu Int Conf IEEE Eng Med Biol Soc, 2025.PMID 41336199
- [7]Bang CS, Kang SJ, Lim H, Kim SH, et al. Evidence-Based Guidelines for the Diagnosis and Treatment of Helicobacter pylori Infection in Korea: 2025 Revised Edition Helicobacter, 2026.PMID 42439470
- [8]Van de Bruaene C, De Schepper H, Surmont M, Van de Putte D, et al. Guideline on Pelvic Floor Disorders: consensus on Obstructed Defecation Syndrome (ODS) Acta Gastroenterol Belg, 2026.PMID 42417642