a 46-year-old who presents with a complaint
This essay focuses on a 46-year-old who presents with a complaint of “heartburn” He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.
a 46-year-old who presents with a complaint of “heartburn”
Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.
Assessment
His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.
1. What would you prescribe initially?
2. How long would you prescribe these medications?
3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?
4. How would the treatment vary if the patient has GERD instead?
Discussion Question 2
List differential diagnosis that would help confirm GERD while ruling out other diagnosis.
Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are in use to confirm GERD? Your response should be at least 350 words.
Reference values (intervals) for blood, urine, CSF, stool, and other fluids (eg, gastric acid) and commonly in use panels are to include. (Note: The reference values provided in these tables should be used as guidelines only.) Reference values vary based on several factors, including the demographics of the healthy population from which specimens were obtained and the specific methods and/or instruments used to assay these specimens. Laboratories that are accredited by the College of American Pathologists (CAP) are required to establish and/or validate their own reference values at least annually. Thus, any given result should be interpreted based on the reference value of the laboratory in which the test was done; the laboratory typically provides these values with the test result.
- See table Commonly Used Panels.
en increases as weight increases. Being overweight also can cause disrupted breathing while you sleep (sleep apnea), which further raises your blood pressure.
Weight loss is one of the most effective lifestyle changes for controlling blood pressure. Losing even a small amount of weight if you’re overweight or obese can help reduce your blood pressure. In general, you may reduce your blood pressure by about 1 millimeter of mercury (mm Hg) with each kilogram (about 2.2 pounds) of weight you lose.
Besides shedding pounds, you generally should also keep an eye on your waistline.
Carrying too much weight around your waist can put you at greater risk of high blood pressure.
In general:
- Men are at risk if their waist measurement is greater than 40 inches (102 centimeters).
- Women are at risk if their waist measurement is greater than 35 inches (89 centimeters).
These numbers vary among ethnic groups. Ask your doctor about a healthy waist measurement for you.
