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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
Symptoms Long-Term PPI ... Issues Diagnosis Algorithm ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
indications → PPI ... Therapeutic trial of PPI ... → discontinue PPI ... recurrence → EGD off PPI ... impedance pH) • PPI
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Anaphylaxis: 1M Epi ... PPI Oxygen Therapy ... diagnosis #Management #treatment ... #criticalcare
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Joint Infection (PJI ... Cortes_Penfield #PJI ... Joint #Infection #treatment
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... angiography and possible PCI ... CardiacArrest #Algorithm ... Management #Cardiology #CriticalCare
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... diagnosis when treatment ... frequent meals #Acid ... #ppi
Eosinophilic Gastroenteritis Management Algorithm
 - PPI x 8 weeks
 - Dietary therapy with Empiric Elimination or
Gastroenteritis Management Algorithm ... - PPI x 8 weeks ... Gastroenteritis #Management #Algorithm ... #Treatment #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
topical injury (by acid ... third of esophagus Treatment ... : - Treatment of ... 48 hours - IV PPI
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... mobilizes fatty acids ... produce Acetoacetic acid ... #differential #algorithm ... #criticalcare #