Essays on Gerd

Abstract

A complete and thorough health assessment can help in the correct diagnosis (Dingman, 1941). According to a famous saying “A case well taken is half solved”. A well taken case should include complete description of the patient’s mental, physical and social well being. Mere jotting down of physical signs and symptoms may not give the true picture of a disease. As every patient is a different individual, thorough case taking is required in order to establish the individuality of the patient. Many features of the patients may have a role to play in his or her health, therefore, ...

MT is 14 year old with chest pain and dry cough as chief complaints. According to MT, she also experiences, regular heartburns, sore-throat and regurgitation of food. According to MT’s mother, she has a strong liking for coffee and tea and often prefers taking coffee or tea with a snack for dinner. Guided by the findings of the subjective assessment, gastro-esophageal reflux disease (GERD) and gastritis, featured as the most probable conditions leading to these symptoms. However the laboratory and test findings revealed negative for H. pylori, hence excluding the possibility of gastritis. An ambulatory acid probe test ...

Objective: Patient appears well-groomed and devoid of nervousness or anxiety. Vital signs are within normal limits (WNL), except for mild fever. Abdomen: Normal bowel sounds, no rebound or guarding, no masses, presence of mild epigastric tenderness on palpation.

Gastritis Gastroesophageal Reflux Disease (GERD) Irritable Bowel Syndrome (IBS) The primary diagnosis for this case is gastritis. Based on the subjective assessment findings, it is apparent that the symptoms described by the patient are consistent with gastritis. Additionally, the patient has a history of gastritis, hence making it a primary diagnosis. GERD may be excluded as a primary diagnosis since GERD-related ...

Based on the patient’s subjective and objective assessment, Gastroesophageal Reflux Disease (GERD) and tonsillitis feature predominantly as the most probable causes of the symptoms. While a differential diagnosis points to the possibility of these two diseases, it is evident that tonsillitis can be ruled out from the case since there no signs of swollen tonsils or difficulties in swallowing (Weinberger & Fischer, 2014). Swelling of tonsils and pain are classical symptoms of tonsillitis but based on the subjective assessment findings, these symptoms are absent. As such, this GERD the primary cause of the symptoms and the most probable diagnosis ...

Introduction

Esophageal cancer is among the key health problems that is associated with numerous complications. As such, esophageal cancer is a form of cancer that typically occurs in any part of the esophagus and is among the most severe malignancies (Spechler, 2013). Essentially, this form of cancer is categorized into various types based of the cells involved whereby the most prevalent forms of esophageal cancer are Squamous Cell Carcinoma (SCC) as well as Adenocarcinoma (AC). Among the major risk factors that usually increase the likelihood of developing this form of cancer are smoking, having GERD (Gastro-esophageal Reflux disease), obesity and ...

The patient presents with anorexia, heartburn, and weight loss over the past 6 months while also complaining of back pain. All these symptoms point to a problem within the gastrointestinal system which is slowly developing and which if not managed at this early stage could progress to severity. The weight loss over the last six months is an indication of the inability of the body to process and utilize the meals taken as would be expected and the body is currently more reliant on the food/energy reserves (Jarvis, 2015). In this case, there are three possible causes for these ...

Age: 75 years

Medical Record No: 66543N History and physical examination conducted: June 21, 2016 Source: The patients presents his own medical history and is a reliable source Chief Complain presented: Abdominal pain The History of the Present Illness Past medical history The patient presents with diabetes diagnosed 10 years ago, that is well controlled with Metoprolol medication. He also presents with depression and the patient uses Prozac medication for depression management. Mr. X had been previously hospitalized in 2010 due to MI and cardiac catheterization was done therefore, the patient present with a positive history of surgery.

Social history

Family history The patient ...

(College/University/Institute)

GERD: Introduction

“Gastroesophageal reflux disease (GERD) is a syndrome wherein the stomach’s contents of those in the small intestine constantly move up into the esophagus. The rearwards motion of the contents is called a “reflux.” This condition results in the person being subjected to episodes of heartburn, a stinging sensation felt under the sternum part of the chest, is the initial symptom of heartburn; this is traditionally felt after the person has a heavy meal, or lies down or lifts a heavy object immediately after eating. If a person is consistently experiencing bouts of reflux and extreme heartburn, then ...

The symptoms of anorexia, heartburn, and weight loss are common for duodenal ulcer disease, functional dyspepsia, acute gastritis, alcohol related dyspepsia (ARD) as well as gastroesophageal reflux disease (GERD). All these conditions are difficult to diagnose correctly due to the variable nature of its presenting symptoms against those of other gastrointestinal illnesses. In this case, acute gastritis is ruled out technically by the fact that it presents with presence of blood in the stool and the test in this case did not indicate any blood stains. On the other hand, acute gastric presents with temporary pain in the stomach ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...