Term
| What medications cause reduced LEs pressure? |
|
Definition
Anticholinergics
Caffeine
Dihydropyridine CCBs
DA
Nitrates |
|
|
Term
| What medications are direct irritants? |
|
Definition
Alendronate
ASA, NSAIDs
Iron
Quinidine
Potassium |
|
|
Term
| What are the "other factors"? |
|
Definition
Recumbency
Increased intro-abd pressure
Reduced gastric motility
Decreased LES tone
Tissue injury/complications |
|
|
Term
| What are the typical sx of GERD? |
|
Definition
Heart Burn
Regurgitation
Chest pain
Acid brash (hypersalivation)
Regurgitation/belching |
|
|
Term
| What are the esophageal sx of GERD? |
|
Definition
Chronic cough
Asthma-like SX
Laryngitis/hoarseness |
|
|
Term
| What are the alarm sx of GERD? |
|
Definition
Dysphagia
Odynophagia
Bleeding
Wy Loss |
|
|
Term
|
Definition
Clinical HX
Objective testing with endoscopy
Ambulatory pH monitoring
Response to acid suppression |
|
|
Term
| How do you confirm Typical? |
|
Definition
Empiric therapy
Endoscopy NOT required
Exception: Chest pain- exclude cardiac cuases |
|
|
Term
| How do you confirm extraesophageal? |
|
Definition
| PPI is Pt has typical Sx, otherwise reflux monitoring |
|
|
