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Gastroenterology Today Autumn 2023

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EDITOR’S COMMENT<br />

EDITOR’S COMMENT<br />

Looking beyond the typical.<br />

“Whilst medical<br />

conditions<br />

and diseases<br />

commonly<br />

present with<br />

classical<br />

symptoms<br />

there are also a<br />

host of atypical<br />

presentations<br />

that one must<br />

be aware and<br />

mindful of.”<br />

The differential diagnosis is one of the cornerstones of the medical profession and directs our patient<br />

assessment from the very beginning. From medical students to senior clinicians, it is an everyday part<br />

of clinical practice. Whilst medical conditions and diseases commonly present with classical symptoms,<br />

there are also a host of atypical presentations that one must be aware and mindful of. When the diagnosis<br />

is not forthcoming, we must look beyond the typical.<br />

In this edition of <strong>Gastroenterology</strong> <strong>Today</strong> we present two feature articles. The first highlighting the liver<br />

manifestations of coeliac disease and the importance of exploring the possibility of coeliac disease as<br />

a diagnosis in patients with elevated liver enzymes of unknown aetiology. In the second feature, the authors<br />

encourage clinicians to look beyond disease activity and anaemia in inflammatory bowel disease patients<br />

presenting with fatigue, with the recommendation that these patients should be screened for possible<br />

sub-clinical depression.<br />

Aaron Bhakta<br />

GASTROENTEROLOGY TODAY – AUTUMN <strong>2023</strong><br />

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