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DPT_GASTRO

GERD

QuestionAnswer
Backflow of gastric / duodenal contents into esophagus GERD
4 causes of GERD Weak LES Hiatal hernia Pyloric stenosis Decreased GI motility
Risk factors of GERD CATCHAS Coffee Alcohol Tobacco Caffeine H.pylori Aging Stress
Hallmark sign of GERD Heartburn / pyrosis Regurgitation
Characteristics of pyrosis in GERD Burning , substernal
Pyrosis of GERD worsen during After meals, lying down
Common complication of GERD Esophageal adenocarcinoma
Gold standard diagnostic test of GERD Ambulatory pH monitoring
Diagnostic and treatment test in GERD Esophagogastroduodenoscopy
What views and is treated by Esophagogastroduodenoscopy VIEW + TREAT Visualize mucosa Identify dse Evaluate motility With biopsy TREAT esophageal varices, upper GI bleeding, dilate strictures
Pre interventions for Esophagogastroduodenoscopy NPO - LEFT NPO x 8 hrs Pre mediate Obtain consent LEFT lateral
Is Esophagogastroduodenoscopy inpatient or outpatient Outpatient
1st line intervention for GERD Lifestyle modification
HOB of patients with GERD 6-8 inches blocks
Everytime we eat, what binds to muscarinic receptor Acetylcholine
DOC of GERD that blocks exit of acid from receptors (proton pump) PPI
S/E of PPI MIHAD Malabsorption Infections Headache Abd. Pain Diarrhea
PPI is given when 30 mins - 1hr AC @ BF
"Prazole" PPI
DOC of GERD that blocks H2 receptor thus no acid produced by H2 receptor H2 receptor blocker
H2 receptor blocker is given when Morning / bedtime
Drug for GERD that prevents nocturnal acid H2 receptor blocker
Drug for GERD that neutralizes gastric acids Antacids
Antacids that causes constipation Aluminum hydroxide
Antacids that causes diarrhea Magnesium hydroxide
Antacids are given when After meals
Surgical management of choice for GERD Nissen fundoplication
Created by: ah_jusyyy
 

 



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