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HeartBurn

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Mind Map on HeartBurn, created by Safaa Fayiz on 04/02/2018.
Safaa Fayiz
Mind Map by Safaa Fayiz, updated more than 1 year ago
Safaa Fayiz
Created by Safaa Fayiz almost 7 years ago
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Resource summary

HeartBurn
  1. DDX For chest pain
    1. Cardiac Cause
      1. Ischemic
        1. Non-ischemic
        2. Noncardiac causes
          1. Gastroesophageal
            1. Reflux esophagitis
              1. Esophageal spasm
                1. esophageal perforation
                  1. Gastritis
                    1. Peptic ulcer disease
                      1. A break in the lining of the stomach, first part of the small intestine or occasionally the lower esophagus.
                        1. History taking
                          1. Investigations
                            1. Non invasive
                              1. Urea breath test
                                1. Stool antigen test
                                  1. Elisa
                                  2. Invasive
                                    1. Culture
                                      1. Endoscopy
                                      2. Management
                                        1. Triple therapy
                                          1. 2 anti-biotics
                                            1. Amoxicillin
                                              1. Clarithromyicn
                                              2. 1 PPI
                                              3. Complications
                                                1. Malt lymphoma
                                                  1. Adenocarcinoma
                                                  2. Prognosis
                                                    1. The earlier the treatment the better the prognosis
                                          2. GERD
                                            1. Signs & symptoms
                                              1. Regurgitation
                                                1. Dysphagia
                                                  1. Hoarseness
                                                  2. GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach
                                                    1. History taking
                                                        1. Investigation
                                                          1. PPI test if failed
                                                            1. Upper endoscopy
                                                              1. 24-hpur esophageal PH study
                                                                1. wireless capsule PH study
                                                                  1. Esophageal impedance testing
                                                                  2. Management
                                                                    1. Complications
                                                                      1. Esophageal stricture
                                                                        1. Esophageal Ulcer
                                                                          1. Barrett's esophagus
                                                                          2. Prognosis
                                                                            1. The earlier the management the better the prognosis
                                                                            2. Pharmacological
                                                                              1. PPI
                                                                                1. Antacids
                                                                                  1. Cytoprotective agent
                                                                                    1. H2 antagonist
                                                                                      1. Cholinergic antagonist
                                                                                      2. Non-pharmachological
                                                                                        1. Lifestyle change
                                                                                          1. Body wheight reduction
                                                                                            1. No tight clothes
                                                                                              1. elivation of the bed-head
                                                                                2. Pulmonary
                                                                                  1. Pneumothorax
                                                                                    1. Pulmonary embolism
                                                                                    2. Musculoskeletal
                                                                                      1. Costochondritis
                                                                                        1. Rib fracture
                                                                                    3. Causes
                                                                                      1. Food
                                                                                        1. Medication
                                                                                          1. Alcohol
                                                                                            1. smoking
                                                                                              1. obesity
                                                                                                1. Hernia
                                                                                                  1. pregnancy

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