PPT-Managing Dyspepsia & GORD

in 2015 Dr Alan Desmond Consultant Gastroenterologist UGI MDT Lead Mount Stuart amp T orbay Hospital alandesmondnhsnet NAEDI Campaign runs January 22nd to F ebruary 22nd NAEDI Campaign runs January 22 to . Professor . Antonino. . Morabito. Dr Lisa Kauffmann. Feb 2015. Why is it a problem?. GORD is a motility disorder. . The Lower Oesophageal Sphincter is the critical area.. 2 main mechanisms:. Mechanical . Dr Alex Timperley FY2. Objectives. Aetiology. Signs & symptoms. Investigations. Management. Complications. Example cases. Background. Dyspepsia. Dyspepsia. Non-specific group of symptoms related to the upper GI tract. Nik Sanyal. Overview. How common is it + what are the risk factors?. What are the symptoms and signs?. Investigations. Management. Possible exam questions. Cases. Epidemiology. Dyspepsia.  occurs in 40% of the population annually and leads to a primary care consultation in 5% and endoscopy in 1. Kally. Alexandropoulou . MBBChir. MA MRCP. Consultant Gastroenterologist. Topics to cover. GORD and oesophageal physiology - NICE guidelines 2014. HRM/ pH impedance. Barrett’s - BSG guidelines 2012, 2013. Paulo Santos. Federal . University. . of. Ceará, . Brazil. Highly. . prevalent. Great . impact. . on. . quality. . of. . life. Prevalence. In . the. . literature. :. between. . 50%. . and. Chapter . 6. Supporting Hard Drives. A+ Guide to Managing & Maintaining Your PC, 8th Edition. 2. Objectives. Learn about the technologies used inside a hard drive and how a computer communicates with a hard drive. By Dr Claire Donohue (GP SpR). Objectives – by the end of the session you should be able to…. Describe . the types of patients who develop GORD and . identify their risk factors. Propose an appropriate investigation for each patient presentation. Chapter . 16. Networking Types, Devices, and Cabling. A+ Guide to Managing & Maintaining Your PC, 8th Edition. 2. Objectives. Learn about network types and topologies. Learn about the hardware used to build local networks. Chapter . 6. Supporting Hard Drives. A Guide to Managing & Maintaining Your PC, 8th Edition. 2. Objectives. Learn about the technologies used inside a hard drive and how a computer communicates with a hard drive. SAQ 16 A 78 yo female with PMH LTKR AF GORD presents after slipping over in the supermarket. She is very distressed. Ambulance treatment enroute includes NSaline 500mls Airsplint to left leg & fentanyl 250mcg . Approach to A Patient with Introduction Dyspepsia describes symptoms such as discomfort, bloating, nausea, which are thought to originate from the upper gastrointestinal tract. Introdu Gastroenterology Unit. Molinette Hospital. Turin, Italy. Department of Medical Sciences. University of Turin. Turin, Italy Referencesfrom the Spanish Scale measures. Rev Esp Enferm Dig 2017. In press Red flags present Heartburn Undifferentiated dyspepsia (not investigated) yes no yes yes no no Refer for endoscopyEmpirical treatment with PPI or consider testing and treating for PPI and step-down Fu Department of Family & Community Medicine. UP-PGH. DYSPEPSIA. Chronic or recurrent pain or discomfort centered in the upper . abdomen . in the absence of an organic disease such as peptic ulcer, GI malignancy, gastroesophageal reflux disease, or pancreatitis. .