agnosia
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| | 11/27/05 - 12:13 AM
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| #1 |
Patients presents vomiting acid, has dysphagia, what would you do? and why ?
A) Prescribe PPI and antibiotics, because Helicobacter Pylori is the cause of the oesophagitis
B) Resect the end of the oesophagus and anastomise the dangling bit to the stomach using a Bilroth II procedure because the patiënt is already experiencing dysphagia
C) Schedule oesofagography, and be alerted when discovering Barret's oesophagus or oesophagitis grade C-D. Also further investigate the reflux through 24h pH-metry. Schedule regular check-ups.
D) Tell the patient to, when sleeping, use a flat pillow because it encourages reflectory activation of the lower oesophageal sfincter
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| DrS
Forum Elite
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Posts: 338
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the information given in the question seems to be grossly inadequate. Anyway going by the given answers I guess only C can be chosen for the given situation.
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| ARJ
Forum Guru
Topics: 133
Posts: 792
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C) Schedule oesofagography, and be alerted when discovering Barret's oesophagus or oesophagitis grade C-D. Also further investigate the reflux through 24h pH-metry. Schedule regular check-ups.
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