EXAM

Question 1

Dyspepsia

Answer 1

Signs and symptoms:

• burning sensation
• full/bloated

Red flags:

• Ingestion of NSAIDs
• Family history of cancer (GI)
• Severe or persistant dyspepsia
• Unexplained weight loss

Treatment:
Non Pharmacological:
- lifestyle modifications
- Healthy eating
- Weight reduction
- Quit smoking
- limit alcohol intake 
- Avoid food/factors that cause the dyspepsia
Pharmacological 
- Antacid
- PPI

Goals:
- Relief of symptoms

Recommendation:

• Antacid
• PPI

Counselling:

• Not sure
• How to use
• Counsel on side effects
• How long until the patient should expects symptom relief

Advice:

• Non-pharmacological treatment
• Not sure

Monitoring

• Efficacy
  
  • You know the treatment works when the symptoms are gone
• Safety
  
  • Make sure medicine is doing no harm
  • Check for side effects