GORD

Question 1

TASK

Answer 1

714

Question 2

HX/explain

Answer 2

-so sorry to hear that
-explain to the patient anatomy, hiatus, oesophagitis
-it is not serious>it is reversible at this stage
-cause of symptoms>oesophagitis:no association with hiatus hernia
COMPLICATIONS
i.strictures
ii.barrettes oesiphagus
iii.adenocarcinoma
iv.ulcer, bleeding

Question 3

mx

Answer 3

treat wit PPI daily>maybe increase to twice a day severe disease
LIFESTYLE ADVICE
-smoking cessation
-alchol moderation
-weight reduction
-small meals at night, avoid coffee, fat, chocolates
-head end with pillows
-alternative for aspirin
SX: not needed at this stage
REPEAT ENDOSCOPY FOR FOLLOW UP

Question 4

red flags

Answer 4

-dysphagia
-odynophagia
-bleeding
-low, loa