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Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Gastroesophageal Reflux ... Extraesophageal Symptoms ... Gastroesophageal #Reflux ... #Management #Treatment ... #Algorithm #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Summary GERD: Diagnosis ... Testing Ambulatory reflux ... #Disease #diagnosis ... #management #Gastroenterology
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
The Gastroenterology ... I-liner summary - Symptoms ... pulm/oncologic Meds ... Antiplatelet & AC ... last meal - Treatment
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... promote esophageal reflux ... melena - Other GI symptoms ... : - Treatment of ... #management #gastroenterology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
spine L1-L5 Symptoms ... Differential Diagnosis ... wink test - reflex ... axial T1 and T2 Treatment ... #causes #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... Neurological symptoms ... epilepticus Treatment ... underlying cause • Treatment ... #management #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... meningitis), MCC CNS symptoms ... syndrome, and A20 ... Arthritis, AS Treatment ... management #signs #symptoms
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
Increased Jaw Jerk reflex ... fasciculations Common Symptoms ... column Treatment ... Lateral #Sclerosis #neurology ... #diagnosis #management
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Framework Symptom ... | Diagnosis • ... • Muscular or neurologic ... disorder → EGD Treatment ... #Management #gastroenterology