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Clinical CPD topic

Coeliac disease: practise, reflect and record

Practise coeliac disease through five clinical cases, review the explanations and build a professional learning record. Select appropriate diagnostic testing initially, in IgA deficiency, and after prior gluten exclusion.

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What you’ll work on

  • Select appropriate diagnostic testing initially, in IgA deficiency, and after prior gluten exclusion.
  • Recognise the pneumococcal immunisation discussion indicated in confirmed coeliac disease.
  • Identify the lymphocyte phenotype defining type II refractory coeliac disease.

Think through a clinical case

Decide how you would approach this case before opening the question session.

A 58-year-old woman presents with a 3-month history of fatigue, intermittent abdominal pain, bloating, and loose stools. Blood tests show Hb 105 g/L, MCV 78 fL, Ferritin 10 $\mu$g/L. What investigation is most appropriate to screen for coeliac disease according to NICE NG20?

A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.

From a decision to a learning record

  1. Test your reasoning. Answer five questions from this topic’s clinical-content library.
  2. Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
  3. Reflect on application. Describe what you learned and what you would change or investigate.
  4. Review your evidence. Confirm the activity and time spent, then retain or export your professional record.

Primary sources and further reading

Read the source in the same jurisdiction as your question session.

Continue your reading