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YR3 Core Conditions > GORD > Flashcards

GORD Flashcards

1
Q

Pathophysiology of GORD

A

LOS dysfunction = reflux of gastric content = oesophagitis

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2
Q

RFs for GORD

A 
hiatus hernia
smoking
alcohol
obesity
pregnancy
drugs
iatrogenic
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3
Q

Presentation of GORD

A

heartburn related to meals and worse lying down
chest pain
belching
painful swallowing

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4
Q

extra oesophageal symptoms of GORD

A

nocturnal asthma
chronic cough
laryngitis

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5
Q

ix in GORD

A

PPI trial then maybe:

Bloods: fbc
cxr: hernia check
OGD: >55, Symptoms >4 weeks, dysphagia, persistent symptoms despite Rx, wt loss
Ba swallow
24hr pH monitoring
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6
Q

medication ladder for GORD

A
  1. OTC antacids
  2. PPI
  3. 2x PPI
  4. PPI + H2A
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YR3 Core Conditions (32 decks)

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