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gi year 4 > GORD > Flashcards

GORD Flashcards

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1
Q

GORD

A

reflux of stomach acid into the oesophagus due to an incompetent LOS

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2
Q

signs

A 
dyspepsia:
heart burn
acid regurgitation
burping
epigastric pain
cough
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3
Q

investigations

A

trial of PPI

endoscopy:
- concerning features suggesting ulcer, oesophageal motility disorder or maligancy

test for H.pylori

manometry

urgent-2 week referral for ALARM signs

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4
Q

ALARM signs

A 
anaemia
weight loss
persistent vomiting
haematemesis 
dysphagia 
not responding to treatment
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5
Q

management

A

life style advice:

  • avoid coffee, smoking
  • better diet
  • lighter meals

gaviscone
PPI

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6
Q

complications of GORD

A

Barrett’s oesphagus

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7
Q

barrett’s oesophagus

A

type of metaplasia where squamous epithelium is replaced with columnar epithelium

metaplasia - endoscopic surveillance
dysplasia - endoscopic biopsies

complication:
adenocarcinoma

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8
Q

what is important regarding PPIs and upcoming endoscopy appointment

A

stop PPIs two weeks before

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gi year 4 (45 decks)

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