Case 1: M.B is a 48 year old woman who presents to her primary care provider complaining of recurrent heart burn occurring daily for the past 6 weeks. She states that the heartburn occurs frequently after meals and often wakens her at night. Lately, she has been experiencing difficulty swallowing solid foods. She currently smokes 2 packs of cigarettes per day. She states that she occasionally uses OTC ranitidine up to twice daily, which temporarily relieves her symptoms. W 1. What diagnostic modalities are available for the evaluation of her GERD? 2. M.B's frequent severe symptoms continue despite OTC famotidine 20 mg orally twice daily and presence of warning signs warranted that she undergo endoscopy, which revealed moderate esophagitis and presence of esophageal strictures. What treatmen options exist for M.B? 3. M.B's symptoms resolved in about 2 weeks after starting PPI therapy, and she remained asymptomatic after 8 weeks. She then underwent endoscopy again, which revealed that oesophagus healed completely. Her primary care physician stopped the PPI. Now, 2 weeks later, she is experiencing mild heart burn. Is the patient a candidate for long term maintenance therapy?
Case 1: M.B is a 48 year old woman who presents to her primary care provider complaining of recurrent heart burn occurring daily for the past 6 weeks. She states that the heartburn occurs frequently after meals and often wakens her at night. Lately, she has been experiencing difficulty swallowing solid foods. She currently smokes 2 packs of cigarettes per day. She states that she occasionally uses OTC ranitidine up to twice daily, which temporarily relieves her symptoms. W 1. What diagnostic modalities are available for the evaluation of her GERD? 2. M.B's frequent severe symptoms continue despite OTC famotidine 20 mg orally twice daily and presence of warning signs warranted that she undergo endoscopy, which revealed moderate esophagitis and presence of esophageal strictures. What treatmen options exist for M.B? 3. M.B's symptoms resolved in about 2 weeks after starting PPI therapy, and she remained asymptomatic after 8 weeks. She then underwent endoscopy again, which revealed that oesophagus healed completely. Her primary care physician stopped the PPI. Now, 2 weeks later, she is experiencing mild heart burn. Is the patient a candidate for long term maintenance therapy?
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Transcribed Image Text:Case 1:
M.B is a 48 year old woman who presents to her primary care provider complaining of recurrent
heart burn occurring daily for the past 6 weeks. She states that the heartburn occurs frequently
after meals and often wakens her at night. Lately, she has been experiencing difficulty
swallowing solid foods. She currently smokes 2 packs of cigarettes per day. She states that she
occasionally uses OTC ranitidine up to twice daily, which temporarily relieves her symptoms.
W
1. What diagnostic modalities are available for the evaluation of her GERD?
2. M.B's frequent severe symptoms continue despite OTC famotidine 20 mg orally twice
daily and presence of warning signs warranted that she undergo endoscopy, which
revealed moderate esophagitis and presence of esophageal strictures. What treatment
options exist for M.B?
3. M.B's symptoms resolved in about 2 weeks after start
asymptomatic after 8 weeks. She then underwent endoscopy again, which revealed that
oesophagus healed completely. Her primary care physician stopped the PPI. Now, 2
weeks later, she is experiencing mild heart burn. Is the patient a candidate for long term
maintenance therapy?
I therapy, and she remained
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