Clinical Case Database / Category: Patient Management

Chronic diarrhoea

Publication details

Sanjeev Pattni MBBS BSc MRCP, Julian RF Walters MA MB FRCP
Foundation Years Journal, volume 3, issue 4, p.22 (123Doc Education, London, May 2009)


A 49-year-old housewife was referred to gastroenterology outpatients with a 2-year history of diarrhoea. The GP letter outlined that she had recently been opening her bowels 6–10 times a day and 1–2 times at night. The diarrhoea was described as watery with no blood seen. There was no relation to dietary factors (milk, bread, etc.) and no history of weight loss. She felt that her symptoms were significantly affecting her life and found it embarrassing to leave her flat. There was no family history of colonic neoplasm or inflammatory bowel disease.

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Sanjeev Pattni MBBS BSc MRCP

Clinical Research Fellow
Department of Gastroenterology
Hammersmith Hospital
Imperial College Healthcare NHS Trust

Julian RF Walters MA MB FRCP

Consultant Gastroenterologist
Department of Gastroenterology
Hammersmith Hospital
Imperial College Healthcare NHS Trust




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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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