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عسر الهضم الوظيفي ( اللاقرحي ) : FUNCTIONAL (NON-ULCER) DYSPEPSIA


عسر الهضم الوظيفي ( اللاقرحي ) : FUNCTIONAL (NON-ULCER) DYSPEPSIA

المعلومة

Dyspepsia is often associated with classic reflux symptoms, in particular heartburn; if reflux symptoms dominate, the diagnosis is symptomatic gastroesophageal reflux disease until proven otherwise.

غالباً ما يرتبط عُسْر الهضم مع أعراض قلس ( جَزْر ) و بالتحديد حُرْقة الفؤاد ( اللَّذَع ) ؛ و إذا كانت أعراض القلس مسيطرة فالتشخيص هو داء القلس المريئي المعدي العرضي حتى يثبت العكس .

المرجع

Cecil Textbook Of Medicine 21th Edition (2000)
dr.msh's picture
by
بعد التخرج


if he dyspepsia is of new onset or changed in quality ,and the patient is over 40 years old,scope him

Dr_Ayyad
بعد التخرج

Quote:
symptomatic gastroesophageal reflux disease

O/E to differentiate b-w heart and GERD origin of heartburn
ask the pt :

is there sudden appearance of excessive salivation in ur mouth ?
if he says yes , this is due to reflex salivation and suggests GERD ... water brash

does the pain increase when u lay flat or bend fwd ?
if he says yes , this is due to acid reflux during laying down and suggests GERD ..

is there pain in the center of ur tummy ?
if he says yes , this is dyspepsia and suggests GERD rather than heart origin-ed heartburn

but in all directions i agree

Quote:
scope him

both big and small

in a cardiac free-Hx elderly heart burn pt : u still have the risk of ( platelet aggregation ) in old ppl -- thrombus risk more than a young pt
but the collaterals are better than a young pt

in a young pt : u have the collaterals still not developed as those of an old pt so must rule out heart problems since no collaterals will compensate in case of heart origin heartburn

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