Flashcards in LOs Deck (8)
RAPRIOP for mx
Advice eg smok, infec control, meds incl OTC, work, fluids/paracetamol/rest, NAT HX ie how long will last, driving.
Obs/safety netting- 3 red flags
Health promotion eg lifestyle and prevention.
Muscle strain and ST sprain
PRICE- protect eg support. Rest 48-72hr. Ice 15 mins every 2-3hr for first 2-3d. Compression. elevation until swell controlled.
Paracetamol or topical NSAID first line.
Codeine add on if req.
oral NSAID after 48hr if req.
HARM 1st 72hr acoid all of- heat, alc, running, massage.
Physio if severe strain only.
Immobilisation if req.
seek help in 5-7d if not improving or worsening. Maybe ortho rev.
If sev sprain with large or complete tear may need immobil up to 6wk.
dysphagia, mass, wl, haematemesis, high pl etc means 2wk endosc.
If none of these- rev meds, lifestyle advise, trial full dose PPI 1 mnth OR Hp test ans treat.
Hp test- C13 urea breath test or stool Ag test, or lab based serology. Then test for cure with C13.
Trial PPI 1mnth.
Reduce if works.
Double dose if not work.
GORD no oesophagitis
PPI 1 mnth
Lower dose if works
H2RA or prokinetic for 1 mtnh if not work.