Gastroenterology2 UKMLA questions
Oesophageal varices — UKMLA Revision Notes
Oesophageal varices is an important clinical condition in Gastroenterology that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Oesophageal varices as outlined in current NICE guidelines.
Key Facts
- Oesophageal varices is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Gastroenterology section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- FBC, U&E, LFTs, CRP
- Endoscopy (OGD/colonoscopy)
- CT abdomen/pelvis
- Stool cultures
- Faecal calprotectin
- Abdominal USS
Management
- Dietary modification
- PPI/H2 antagonist as indicated
- Treat underlying cause (H. pylori eradication, IBD therapy)
- Nutritional support
- Gastroenterology follow-up
- Endoscopic surveillance if required