This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated medical case concerning encopresis, or faecal soiling, in a five-year-old boy named Mark, who has been experiencing this issue for six weeks and is being teased at school. The case provides a comprehensive guide for a medical candidate to diagnose and manage the condition, emphasising the importance of gathering a detailed patient history, performing a relevant examination, and effectively communicating the diagnosis and treatment plan to the parents. It details the likely cause as chronic constipation leading to faecal retention and overflow, and offers clear instructions for initial bowel emptying using laxatives and ongoing management through behavioural techniques and sustained parental support to achieve a successful outcome.

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