1183 results
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... and pulmonary symptoms ... Testing Ambulatory reflux ... trigger” foods: caffeine ... Gastroesophageal #Reflux
Efficacy of lifestyle interventions for GERD
Weight loss:
 - Improvement of GERD symptoms and esophageal pH
 -
Improvement of GERD symptoms ... esophageal pH and symptoms ... acidity but not symptoms ... of chocolate, caffeine ... interventions #GERD #reflux
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Esophageal spasm • Reflux ... Toxins: • ETOH • Caffeine ... AVNRT Red Flag Symptoms
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
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Findings, Signs and Symptoms ... Classification - Reflex ... CriticalCare #Sign #Symptoms
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Intermittent Symptoms ... Spasm Progressive Symptoms ... Intermittent Symptoms ... Web Progressive Symptoms ... • Reflux Stricture
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
15 eos/hpf • Symptoms ... : Persistent symptoms ... decrease in a symptom ... : Decreased symptoms ... : Symptom resolution
Myelopathy - Injury to the entire spinal cord - Signs and Symptoms
 • Ataxia (early sign)
cord - Signs and Symptoms ... Hyperreflexia (deep-tendon reflex ... diagnosis #signs #symptoms
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... treated to relieve symptoms ... One of the first symptoms ... the orbicular reflex ... the Orbicular Reflex
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Hepatojugular) Reflux ... Positive reflux= ... Hepatojugular #Reflux