Gastroesophageal Reflux Disease

GASTROESOPHAGEAL REFLUX DISEASE 1.

CHIEF COMPLAINT •Gastroesophageal reflux disease

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HPI

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ROS

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SYMPTOMS •Heartburn •Regurgitation •Dysphagia •Cough •Hoarseness

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HISTORY •FAMILY HISTORY o Hypertension o Diabetes •SOCIAL HISTORY •PAST MEDICAL HISTORY o Hypertension o Diabetes o Barrett’s disease •SURGICAL HISTORY •CHRONIC CONDITIONS

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ALLERGIES

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PHYSICAL EXAMINATION

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SPECIFIC DATA LIKE GRADING

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TESTS TO BE ORDERED •CBP •Serum electrolytes •X-ray

•USG •CT scan •Endoscopy •Barium esophagogram •Esophagogastroduodenoscopy •Esophageal manometry •Ambulatory 24-hour pH monitoring 10. ASSESSMENT /PLAN •Loose weight •Elevate the head of the bed 8 inches •Surgical Care o Fundoplication 11. EDUCATION •Avoid alcohol, chocolate, citrus juice, and tomato-based products •Avoid large meals •Wait 3 hours after a meal before lying down 12. MEDICATION •Ranitidine •Cimetidine •Famotidine •Nizatidine •Omeprazole •Lansoprazole •Rabeprazole •Esomeprazole •Metoclopramide 13. FOLLOW UP