6 results
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
Reflux Disease (GERD ... Symptoms Long-Term PPI ... Algorithm Refractory ... 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
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
- Differential Diagnosis ... Algorithm Labs ... Achlorhydria: PPI ... #Differential #Diagnosis ... #Algorithm #ferritin
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 • Blood loss: GI (cancer, ulcer, IBD), GU
- Differential Diagnosis ... Algorithm • Blood ... achlorhydria: PPI ... #Differential #Diagnosis ... #Causes #Fe #algorithm
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Reflux - Management Algorithm ... consider alternative diagnosis ... #Acid #Reflux #GERD ... #Management #Algorithm ... #ppi
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Obstruction with GERD ... retrosternal chest pain Diagnosis ... 48 hours - IV PPI ... Esophageal #Necrosis #diagnosis ... #management #gastroenterology