GP Notes

Patient presents following a postive faecal occult blood test Denies any active bleeding or heamorrhoids States no family history of colorectal cancer Denies night sweats, weight loss or angina Examination: Abdominal exam: soft No tenderness, guarding or rebound PR exam performed with consent:  No evidence of rectal masses No active bleeding No haemorrhoids Reason for visit: Faecal occult blood test positive Management: Discussed result with the patient Advised patient of the requirement to proceed to colonoscopy to assess for possible sourse of bleeding - colorectal cancer - haemorrhoids - anal fissues - diverticulitis Referral arrranged Patient encouraged to return following procedure or if they have any concerns Keywords:  Positive Faecal Occult Blood, Positive FOB, +fobpositive

Patient presents following multiple episodes of diarrhoea Number of diarrhoea: Commenced: Last loose bowel motion: Examination: The patient appears well Abdominal exam: Abdomen is soft with mild tenderness No guarding No rebound Reason for visit: Enteritis Management: Advised to obtain some Gastrostop from the chemist and take 2 immediately and then 1 after each loose bowel motion Keep hydrated with water / gastrolyte If symptoms do not settle then return here or ED for review Keywords: Enteritis, Diarrhoea, diarrhea, +enteritis