4.8.2013(CME) Flashcards by Rakesh durai

Causes of extra esophageal GERD

Micro aspiration

Vagal reflex

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Predictors of extra esophageal GERD

Female 
Older 
LA grade C or D
Greater than 1 year GERD
Smoker

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Extra esophageal GERD

Cough
Laryngitis
Asthma
Dental erosion

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Diagnosis of GERD

Clinical
Burning feeling behind breast bone
Pain behind breast bone
Acid taste in mouth
Unpleasant movement of material upwards from stomach

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Which PPI is better for GERD?

Esomeprazole

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Features suggestive of GERD asthma

Adult onset asthma
Poor response to asthma therapy
Nocturnal cough
Worsening asthma with big meal,alcohol,supine position

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Specific findings in laryngopharyngeal reflux

Contact ulcers
Granulation
Nodules

Edema and erythema are non specific

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Causes of chronic cough

Postnasal drip
Asthma
GERD

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Rx of extra esophageal GERD

PPI bd for 1-2months

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Diuretic resistant Ascites

Ascites not resolved by frusemide 400mg and spironolactone 160mg

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Diuretic intractable ascites

Dose limitation of diuretic therapy due to adverse effects

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Hypothyroidism and OA

OA occurs early

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