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GI PATHOLOGY > GERD > Flashcards

GERD Flashcards

1
Q

What is GERD

A

GASTROESOPHAGEAL REFLUX DISEASE

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2
Q

Characteristics of GERD (Pathophysiologic changes)

A

Ulcers

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3
Q

RISK FACTORS/ ETIOLOGY of GERD

A

1) LOW LES TONE
2) HIATAL HERNIA
3) HIGH HCL SECRETION
NSAIDS
Smoking
Alcohol
Zollinger Ellison Syndrome (gastroma releasing gastrin)
4) HIGH INTRAGASTRIC PRESSURE
Pregnancy
Obesity
Big meals
Gastroparesis

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4
Q

Clinical manifestations of GERD

A

Epigastric pain
Dyspepsia (Indigestion)
Heartburn
Dysphagia

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5
Q

Complications of GERD

A

Barrett’s esophagus
Adenocarcinoma
Strictures due to fibrosis
GI bleeding
Aspiration
Laryngitis
Odynophagia

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6
Q

DIAGNOSIS OF GERD

A

1) ECG
To rule out heart disease
2) EMPIRIC PPI TRIAL
3) COMPLICATIONS/ ALARM SYMPTOMS
Dysphagia
Vomiting
Anemia
Weight loss
4) MONOMETRY
Rule out Esophageal motility disorders
5) PH MONITORING

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7
Q

TREATMENT

A

PPI
HISTAMINE RECEPTORS AGONIST (H2RA)

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GI PATHOLOGY (10 decks)

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