gastroenterology

gastroenterology - Gastroenterology Swedish Family Practice...

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Gastroenterology Swedish Family Practice Residency Didactics July 31, 2001
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A quick trip through the GI track with brief stops at the esophagus, stomach, liver, colon, rectum and anus. And a little diarrhea.
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The Upper GI Tract Esophagus Stomach Pancreas Gallbladder Liver
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Esophageal Disorders Disorders of motility GERD Inflammatory and infectious disorders Tumors
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Symptoms from the Esophagus Dysphagia Odynophagia Chest pain Regurgitation
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Disorders of Motility Achalasia – Cancer, Parkinson’s, Chagas Disease (trypanosomiasis) Spasm – Diffuse, Localized Scleroderma
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Diagnostic Studies Barium swallow Manometry
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Treatment Long-acting nitrates Calcium channel blockers Dilation of LES (Achalsia) Surgery (Spasm, Scleroderma) Manage reflux (Scleroderma) Prokinetic drugs (Scleroderma)
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GERD Frequent – 10% of US population Occasional – 30% of US population
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Symptoms of GERD Heartburn Water Brash Regurgitation Dysphagia/odynophagia Chest pain, hoarseness, chronic cough, wheezing
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Diagnosis of GERD Therapeutic trial Endoscopy (if complicated) Manometry (for placement of pH probe or prior to reflux surgery) pH acid perfusion test (for diagnosis of unresponsive GERD)
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Treatment of GERD Mild Symptoms Dietary modification Lifestyle modification Trial of patient directed therapy with OTC antacids or H2 antagonists
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Treatment of GERD Non-responders, non-erosive disease H2 antagonists PPI’s Promotility agents 8-12 weeks of therapy
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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gastroenterology - Gastroenterology Swedish Family Practice...

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