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What are 4 medical management options of GERD?
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Read moreWhat is the treatment of achalasia?,”Best – esophagomyomotomy (Heller)Other – CCB, nitrites
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Read moreWhat is the investigation to diagnose suspected achalasia?
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Read moreWhat is the classic history of achalasia?,”More common in women
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Read moreWhat is the classic triad of insulinoma?,”Whipple’s triad1) Hypoglycemia2) CNS and vasomotor symptoms (syncope
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Read moreWhat are 3 types of long-term complications of GERD?,”1. Fibrotic changes – peptic strictures (dysphagia), ulceration, stenosis2. Cancer – Barrett’s esophagus (columnar metaplasia, risk for adenocarcinoma)3. Extraesophageal manifestations – laryngitis, reactive airways
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Read moreWhich patients with GERD require further work up? What do the tests evaluate or attempt to rule out?,”Long-standing or atypical symptoms. Recurrence of dz post medical therapy cessation. Unrelieved sx with maximal PPI dose. R/o malacious dyspepsia.1) Manometry & 24-hour pH monitoring (first line) – confirm dx and severity, r/o achalasia and LE spasm, evaluate peristalsis and LES competency2) Endoscopy – confirm dx, biopsy
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Read moreWhat are 4 extraesophageal manifestations of GERD?
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Read moreWhat is the classic presentation of GERD?,”Substernal chest pain associated with meals, wearing tight clothes, bending over
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