Pathophysiology Final Exam
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GERD - 🧠 ANSWER ✔✔Warning signs include: Symptoms over age of 50:
-Dysphagia (difficulty swallowing)
-Odynophagia (pain on swallowing)
-Nausea and vomiting
-Weight loss
,-Melena
-Early satiety (feeling full after eating very little food
Hiatal Hernia - 🧠 ANSWER ✔✔Often asymptomatic
Generally, a wide variety of symptoms develop later in life and are
associated with other GI disorders, primarily GERD
--Sliding hiatal hernia: treatment usually conservative. Individuals can
diminish reflux by eating small, frequent meals and avoiding the recumbent
position after eating. Abdominal supports and tight clothing are avoided and
weight control recommended for obese individuals.
Duodenal Ulcer - 🧠 ANSWER ✔✔Characteristic manifestation = chronic
intermittent pain in epigastric area
Pain begins 30 minutes to 2 hours after eating when stomach is empty
, Not unusual for pain to occur in middle of the night and disappear by
morning
Peptic Ulcer Disease - 🧠 ANSWER ✔✔Peptic ulcer is a break or ulceration
in the protective mucosal lining of the lower esophagus, stomach or
duodenum
Least likely to occur in the large intestine
Major Depressive Disorder - 🧠 ANSWER ✔✔SSRIs are the standard first-
line treatment for major depression
Initial selection of an antidepressant includes:
-Assessment of symptoms
-Age
-Side effects
-Safety
-Cost
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