Dyspepsia Flashcards

1
Q

Initial reflux approach

A
  • screen for red flags / bleeding -> endoscopy
  • think about cardiac, respiratory, biliary DDx
  • stop nsaids / change to Cox 2 inhibitors
  • 4 week trial of ppi if no red flags
  • if no response, either ogd, or 2 week washout ppi and test for h pylori
  • if symptoms recur after initial ppi response, reintroduce at low dose
  • h pylori 10-14 days > 7 days
  • Amox + metro/Clary
  • Clari + metro
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