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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
Diagnosis and Management ... Gastroesophageal Reflux ... Disease (GERD) ... Gastroesophageal #Reflux ... #Management #Treatment
Gastroesophageal Reflux Disease (GERD) Summary
 - Diagnosis
 - Clinical Workflow
 - PPIs
 - Treatment
 - Acid
Gastroesophageal Reflux ... Disease (GERD) ... Summary - Diagnosis ... Workflow - PPIs - Treatment ... #management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... : Diagnosis • Heartburn ... Testing Ambulatory reflux ... #Disease #diagnosis ... #management #Gastroenterology
Causes of Scrotal Mass - Differential Diagnosis Algorithm
Painful - Sudden Onset
 • Testicular Torsion
 • Torsion
Causes of Scrotal ... - Differential Diagnosis ... otherwise • Germ ... Mixed • Non-germ ... Varicocele - Soft / "Bag
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Gag reflex ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
frequently benign causes ... such as reflex ... further guide management ... Further diagnostics ... The treatment strategy
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... Erb's Palsy is caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Most episodes of chronic cough in adults are caused by upper airway cough syndrome (UACS, also
gastroesophageal reflux ... disease (GERD), ... patients.8,9 Empiric treatment ... , treatments should ... #Diagnosis #PrimaryCare
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
and Management ... often ordered in reflex ... • Flex-Sig: If ... IDSA 2021 CDI Treatment ... #management #treatment
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam