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What is GER?
Gastroesophageal reflux
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What is GERD?
Gastroesophegeal Reflux Disease
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What is LES?
Lower esophageal sphincter
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What is IBW?
Ideal Body Weight
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What is PHx?
Past History
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What is FH?
Family History
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What is meds?
medications
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What is Pt.Ed.?
Patient Education
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What is S&S?
Signs and symptoms?
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What is WNL?
Within Normal Limits
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What is Dysphagia?
A problem chewing or swallowing
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What is aspiration?
The passages of substances beneath the vocal cords into the pharynx and trachea
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What is reflux aspiration?
Aspiration of the stomach content into the lings following a GER
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What is aspirations pneumionia?
An inflammation of the lungs due to the entrance of foreign matter, such as food particles, into the respiratory passage
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What is mucosa?
Mucus membrane covering tubular body structures and formed superposed layers of epithelium, lamina propria and smooth muscle
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What is Mucus?
Clear, thick, sticky secretion of mucous membranes. Contains: WBC, epithelial cells, and salts suspended in water
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Which hormone released by the stomach stimulates HCL secretion?
Gastrin
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What diets are indicated for the management of dysphagia?
- Diet modified in food texture and fluid consistency
- Diets individualized after swallowing assessment
- NDD 1: Pureed
- NDD 2: Mech altered
- NDD 3: Advanced
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What is GERD?
Abnormal recurrent reflux of gastric acid into the esophagus causing symptoms & esophageal damage
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What is reflux esophagitis?
Inflammation of the esophagus due to GER, which caused increased epithelial cell turnover
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What is Eruction?
Belching. Passage of gas or a small amt of refluxes acidic gastric material through the mouth
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What is Odynophagia?
Pain white swallowing
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What is stricture?
Narrowing or stenosis of a hollow structure or tube
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What is an ulcer?
Damage to mucosa or skin surface, due to superficial loss of tissue and possibility accompanied by inflammation
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What is a scar?
Fibrous tissue replacing normal tissue damage by disease or injury
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What is metaplasia?
Abnormal transformation of differentiated tissue or one type into differentiated tissue of another type
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What is Dysplasia?
Growth of abnormal tissue
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What is endoscopy?
Examination of the interior of a hallow organ using an instrument like an endoscope
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What is Adenocarcinoma?
Epithelia cell cancer (neoplasm or malignant tumor)
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What are signs and symptoms of GERD?
- Heartburn
- Belching
- Difficulty Swallowing
- Pain in neck, back, jaw
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Give some complications that can result from GERD.
- Severe Dysphagia
- Barrets Esophagus
- Cancer
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What are some of the many etiologic factors and conditions that can contribute to the development of GERD/GER in adults?
- Excess gastric secretion (Zollinger-Ellison Syndrome)
- Increased hormone secretion (gastrin, estrogen & progesterone)
- Esophagogastric motility disorders
- Increased abdominal pressure
- Lifestyle & eating-related factors
- Meds. effects
- heartburn, bulimia
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What are some of the many etiologic factors and conditions that can contribute to the development of GERD/GER in peds?
- Premature Infants
- Neurologically impaired infants
- CF
- Food hypersensitivity
- Heart Disease
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Indicate the types of treatment available for GERD.
- Diet therapy & lifestyle modification
- Meds.
- Sugeries (occasional as needed)
- No tight belts, do lay down after eating
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Which foods would NOT be recommended for clients with GERD?
- Doughnuts
- Black pepper
- Refried Beans
- Spaghetti sauce
- Fried Bologna
- Brownies
- French Fries
- Whipped cream
- Mint
- Tea
- Soda Pop (gas)
- Coffee
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Describe the dietary and lifestyle recommendations for patients with GERD?
- Avoid high fat foods
- Don't lay down (upright posture, 1 hr)
- Elevate head during bedtime
- Avoid chocolate, mint, alcohol, caffeine
- No smoking
- Wt loss
- No tight clothes or belts
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What are the types of drugs used for management of GERD? Why are they used?
- Histamine Blockers
- Buffer for gastric acid-tums
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What food can be tolerated by a GERD patient with esophageal ulceration?
Yogurt
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A client with GERD does not tolerate citrus fruits and their juice. What other dietary sources of asorbic acid can you recommend her or she consume?
- Potatoes
- Green Veg
- Strawberries
- Melons
- Tomatoes
- Green/Red Peppers
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