35167361
Heartburn
- Abdullah 55 years old
- Felt in the chest and the reason is a problem in the GIT system
- Anatomy of upper GI
- Esophagus
- Gastroesophageal junction
- Stomach
- Esophagus
- Hitology
- Esophagus
- Gastroesophageal
junction
- Stomach
- Fundus/Body
- Pylorus
- Fundus/Body
- Esophagus
- Anatomy of upper GI
- Swallowing
- deglutition from placement of food in the mouth through the oral and
pharyngeal stages of the swallow until the material enters the
esophagus through the cricopharyngeal juncture
- deglutition from placement of food in the mouth through the oral and
pharyngeal stages of the swallow until the material enters the
esophagus through the cricopharyngeal juncture
- Gastric Acid Secretion Mechanisms
- 3 receptors
- Muscarinic receptors (ACh)
- Gastrin
- H2 receptors (Histamine)
- Muscarinic receptors (ACh)
- H+/K+ ATPase or "proton pump"
- Causes of
dysplasia
- Mutations in a developing fetus' DNA
- Differential Diganosis
- Neurological Disorder
- Cerebrovascular accident
- Parkinson's Disease
- Brain stem tumors
- Degenerative diseases
- Peripheral neuropathy
- Peripheral neuropathy
- Degenerative diseases
- Brain stem tumors
- Parkinson's Disease
- Cerebrovascular accident
- Motor-end-plate-disorder
- Myasenthia gravis
- Myasenthia gravis
- Muscular disorder
- Polymyositis
- Dermatomyositis
- Muscular dystrophy
- Cricopharyngeal achalasia
- Cricopharyngeal achalasia
- Muscular dystrophy
- Dermatomyositis
- Polymyositis
- Obstructive lesions
- Tumors
- Inflammatory masses
- Trauma/surgical resection
- Zenker's diverticulum
- Esophageal web
- Extrinsic structural lesions
- Anterior mediastinal lesions
- Cervical spondylosis
- Cervical spondylosis
- Anterior mediastinal lesions
- Extrinsic structural lesions
- Esophageal web
- Zenker's diverticulum
- Trauma/surgical resection
- Inflammatory masses
- Mediastinal masses
- Lymphadenopathy
- Substernal thyroid
- Substernal thyroid
- Lymphadenopathy
- Tumors
- Congenital Anomalies
- Cerebral palsy
- Cleft lip palate
- Cleft lip palate
- Cerebral palsy
- Neurological Disorder
- Mutations in a developing fetus' DNA
- GERD
Gastroesophageal
Reflux Disease
- S&S
- Chest pain
- Difficulty swallowing
- Regurgitation
- Chronic cough
- Laryngitis
- Disrupted sleep
- Chest pain
- Risk factors
- Obesity
- Pregnancy
- Smoking
- certain medications
- Obesity
- Diagnosis
- Upper endoscopy
- Ambulatory acid
(pH) probe test
- X-ray
- Esophageal
manometry
- Upper endoscopy
- Complications
- Esophagitis
Might develop
to:
- Strictures
- Barrett's esophagus
- Barrett's esophagus
- Strictures
- Esophagitis
Might develop
to:
- Lifestyle modifications:
- Elevation of bed head
- Weight loss
- Avoid :
- Smoking
- Alcohol
- Fatty meal
- Chocolate
- Spicy food
- Smoking
- Small frequent meals
- No eating 3 hrs before sleeping
- Elevation of bed head
- Management
- H2 receptor antagonist
- PPI
- Misoprostol
- Sucralfate
- Antacis
- H2 receptor antagonist
- S&S
- H.Pylori
- H. Pylori attacks the lining of the stomach >> acid can
get through the lining >>ulcer formation
- S&S
- ache or burning pain
- Nausea
- Loss of appetite
- Bloating
- Frequent burping
- ache or burning pain
- Risk Factors
- Living in crowded conditions
- Living without a reliable supply of clean water
- Living in a developing country
- Living with someone who has an H. pylori infection
- Living in crowded conditions
- Diagnosis
- Invasive
- Histology
- Upper
gastrointestinal
endoscopy
- Histology
- Non-invasive
- Urea breath test
- Stool antigen test
- Urea breath test
- Invasive
- Treatment
- Complications
- Ulcers
- Chronic gastritis
- Gastric Adenocarcinoma
- Gastric Adenocarcinoma
- Chronic gastritis
- Ulcers
- H. Pylori attacks the lining of the stomach >> acid can
get through the lining >>ulcer formation
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