

Case Study 1
Presentation
•
Other
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KG
•
Easy
Hanida Syafriani
Used 1+ times
FREE Resource
0 Slides • 4 Questions
1
Poll
What would you do next for this patient?
PPI test for 2 weeks
Diagnostic EGD
High resolution manometry
Stop drugs contributing to GERD symptoms
2
Poll
What would you do next for this patient?
Lifestyle modification
H2RA
P-CAB
Fundoplication
3
Poll
The patient was treated with lansoprazole 1x30 mg ac. Symptoms were partially relieved. What would you do next?
Double PPI dose
Change to other PPI
Add non-PPI medication (H2RA, alginate, etc)
Change to P-CAB
4
Poll
The patient was then treated with esomeprazole 2x40 mg ac for 8 weeks. He complained that his heartburn was still bothering him -> GERD-Q score was now 12 (from 13). Based on his symptoms, what would you diagnose the patient with?
GERD
Refractory GERD
Refractory symptoms of GERD
Functional heartburn
What would you do next for this patient?
PPI test for 2 weeks
Diagnostic EGD
High resolution manometry
Stop drugs contributing to GERD symptoms
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