GERD Flashcards
1
Q
Anti-nausea
A
Ondansetron
Metoclopramide
2
Q
H2 receptor antagonist
A
Ranitidine,
3
Q
Proton pump inhibitor
A
Omeprazole, Pantoprazole, Lameprozole
4
Q
Approach to medical management of GERD
A
Antacids
H2 Receptor antagonist - Ranitidine
Proton pump inhibitors
5
Q
Complications
A
dysphagia
odynophagia
weight loss
anemia
6
Q
Esophageal manometry
A
esophageal motility disorders
prior to surgery
7
Q
Ambulatory 24 hr pH monitoring
A
no response to initial acid-suppresive tx
8
Q
Barium swallow
A
structural abnormalities of the esophagus
9
Q
Promotility agents
A
Gastroparesis has been confirmed,
Severe reflux only partially responsive
Presence of DM
10
Q
Gastrinoma
A
increased gastrin and basal acid output
Dx - octreotide scan
11
Q
NSAID use
A
gastric ulcers but no duodenal ulcers
12
Q
Alarm symptoms
A
New symptoms > 50 years of age Anorexia/Weight loss Dysphagia Gross/occult GI bleed Unexplained anemia Vomiting Suspicious upper GI barium radiograph
