Chapter 50, Problem 1CS

(1)

Summary Introduction

To determine:

Why did the physician ask her to stop taking the antacids?

Case summary:

A 50-year-old attorney has self-treated for heartburn for years by drinking large amounts of antacids. She finally made an appointment with her family practice physician, who referred her to a gastroenterologist. Her family practice physician instructed her to stop taking the antacids.

(2)

Summary Introduction

To determine:

In a few weeks, the attorney had an endoscopy, and it was discovered that she had gastroenterologist reflux disease (GERD) and gastritis secondary to stress-induced hyperacidity. The gastroenterologist has prescribed the proton pump inhibitor (PPI) and omeprazole (Prilosec) 20 mg once a day. The other conditions will the gastroenterologist test for during this diagnostic stage.

Case summary:

A 50-year-old attorney has self-treated for heartburn for years by drinking large amounts of antacids. She finally made an appointment with her family practice physician, who referred her to a gastroenterologist. Her family practice physician instructed her to stop taking the antacids.

(3)

Summary Introduction

To determine:

In a few weeks, the attorney had an endoscopy, and it was discovered that she had gastroenterologist reflux disease (GERD) and gastritis secondary to stress-induced hyperacidity. The gastroenterologist has prescribed the proton pump inhibitor (PPI) and omeprazole (Prilosec) 20 mg once a day. The rationale for use of the PPIs to treat GERD.

Case summary:

A 50-year-old attorney has self-treated for heartburn for years by drinking large amounts of antacids. She finally made an appointment with her family practice physician, who referred her to a gastroenterologist. Her family practice physician instructed her to stop taking the antacids.

(4)

Summary Introduction

To determine:

In a few weeks, the attorney had an endoscopy, and it was discovered that she had gastroenterologist reflux disease (GERD) and gastritis secondary to stress-induced hyperacidity. The gastroenterologist has prescribed the proton pump inhibitor (PPI) and omeprazole (Prilosec) 20 mg once a day. The patient teaching is important regarding the PPI.

Case summary:

A 50-year-old attorney has self-treated for heartburn for years by drinking large amounts of antacids. She finally made an appointment with her family practice physician, who referred her to a gastroenterologist. Her family practice physician instructed her to stop taking the antacids.