GORD Flashcards

1
Q

What cell type is the lining of the oesophagus

A

Squamous

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2
Q

How many adults are affected by GORD (%)

A

25%

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3
Q

What is a genetic cause of GORD

A

Lower Angle Oesophageal sphincter

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4
Q

What are the 2 types of hernias that can cause GORD

which is the most common

A

Sliding hernia (95%) ++ Rolling Hernia

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5
Q

In a sliding Hernia, what happens to the LOS

A

LOS protrudes/slides along stomach and goes above the diaphragm

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6
Q

in a rolling hernia, what happens to the LOS

A

LOS rolls along the stomach whilst stomach goes above the diaphragm

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7
Q

Heart burn is typically worse in what position

A

when lying down

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8
Q

What are 3 other signs other than heart burn in GORDD

A

dysphagia

Nocturnal Asthma

Laryngitis

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9
Q

what day-day consumptions can increase risk factor for heart burn (3)

A

Smoking // Alcohol // Caffeine

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10
Q

What 3 type of drugs can increase risk factor of having GORD

A

Antimuscarinics

Tricyclic anti-depressants

Calcium channel blockers

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11
Q

What is something you can tell the px to help them relieve symptoms at home in bed

A

Raise head with an additional pillow

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12
Q

What are the 3 drug treatments for GORD

A

Antacids ==> Gaviscon (sodium alginate)

H2 Receptor Antagonist ==> Ranitidine

PPI ==> Omeprazole

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13
Q

What is the name of the surgery that involves creating a sphincter at the bottom of the oesophagus to prevent acid reflux in GORD

A

Nissens Fundoplication

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14
Q

What is something to be aware of in GORD

A

ALARMS Symptoms

Anaemia
Loss of weight
Anorexia
Recent onset of symptoms
Melaena
Swallowing difficulties
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