Deliver a 4-minute interesting case presentation followed by 4 minutes Q&A.

Question

Accepted Answer

[Hook] One night on call I was asked to see a 34-year-old man with abdominal pain who had been labelled with 'gastritis' three times in six months — he turned out to have small-bowel Crohn's with a contained perforation. [Case] He presented with progressive RIF pain, low-grade fever, CRP 180, and a soft abdomen. Bloods showed iron-deficiency anaemia. CT confirmed terminal ileitis with a localised perforation. [Change] What changed my practice was realising how easily a chronic diagnosis can be missed when each attendance is treated in isolation; I now actively review prior attendances and trends in CRP/Hb before discharging recurrent abdominal pain. [Learning] First, pattern recognition across encounters matters as much as any single examination. Second, early surgical and IBD MDT involvement shortens admissions. [Application] As an ST4 I plan to build on this by joining the IBD MDT, completing a QI project on recurrent attenders in SDEC, and contributing to a clerking-template change that surfaces previous attendances. Thank you.

Interesting Case Presentation — Gastroenterology

Framework checklists