Our Services

Get 15% Discount on your First Order

ANATOMY AND PHYSIOLOGY CASE STUDIES (CO 3, MO 3.12) Gastrointestinal Case Histories – Case 4 Read the Patient’s Clinical Presentation and answer the

July 9, 2024

ANATOMY AND PHYSIOLOGY CASE STUDIES (CO 3, MO 3.12)

Gastrointestinal Case Histories – Case 4

Read the Patient’s Clinical Presentation and answer the questions below. You will be graded on the accuracy and thoroughness of the information that you provide, the quality of the sources that you use, and your attention to details and instructions.

Case Studies are due on 7/12/2024. No more than 700 words with references/intext citations

Sources: Include links to any documents or sites that you use to help you assess the clinical presentations in your case studies. Do not use blogs, encyclopedias or non-credible sites.

Patient’s Clinical Presentation

Chief Complaint:

A 26-year-old business executive complained of a dull pain (heartburn) behind the sternum. The pain was postprandial (occurred after meals) and disappeared within a few minutes to an hour. It was often associated with belching and often was worse on lying down or on exertion after heavy meals. Sometimes it radiated to the back, jaws, shoulders, and down the inner aspects of the arms, simulating angina pectoris. X-rays revealed a small portion of the stomach above the diaphragm, and an endoscopic biopsy revealed mucosal inflammation. Esophageal manometry (determining pressures at the lower esophageal sphincter, LES) revealed decreased LES pressure. Esophageal pH monitoring showed reflux of gastric contents into the esophagus and provided direct evidence of gastroesophageal reflux. Recommended treatment for this individual is avoidance of strong stimulants of gastric acid secretion (e.g., coffee, alcohol) and avoidance of certain drugs (e.g., anticholinergics), and specific foods (fats, chocolates, whole milk, and orange juice), and smoking, all of which reduce LES competence. Elevation of the head of the bed by about six inches is also recommended. Suggested treatments also include the use of cholinergic agonists (e.g., bethanechol) and the use of histamine (H2) antagonists (cimetidine).

Answer the following questions.

1. What is the disorder of this 26-year-old business executive? Explain.

2. 2. What mechanisms normally prevent gastric reflux into the esophagus when lying down or bending over?

3. Why are anticholinergic agents avoided and cholinergic agonists recommended in the treatment of gastroesophageal reflux?

4. Why are histamine (H2) antagonists recommended?

5. Why is elevation of the head of the bed recommended?

6. What is the normal pH of the esophagus? Of the stomach?

>Biology homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Dating is always a great way to add some fun and keep guests entertained at the celebration, but if you’re looking for something a little more personal

Dating is always a great way to add some fun and keep guests entertained at the celebration, but if you’re looking for something a little more personal and exciting in your own life, whether it’s dating or something else, finding the right match is key. When it comes to spicing

This is not an essay paper. Please respond to the questions with no references needed. Tuscaloosa Medical Center has just been notified via letter

This is not an essay paper. Please respond to the questions with no references needed. Tuscaloosa Medical Center has just been notified via letter that they have been selected for a security audit by the OCR. This review is not due to a compliant but rather a random review. The

Please keep the assignment on a word doc Choose one of the following options for your analysis. Using the data included in the file

Please keep the assignment on a word doc Choose one of the following options for your analysis. Using the data included in the file AB202019_Ch14_casemixindex_1996_2018_20190628 CA.xlsx Download AB202019_Ch14_casemixindex_1996_2018_20190628 CA.xlsx. Prepare a graphic that compares Your Hospital’s CMI to your benchmark facility, the county’s, and the state’s CMI for the past

By sharing your creations, you encourage others to tap into their own creativity and explore their own musical styles. All throughout the world,

By sharing your creations, you encourage others to tap into their own creativity and explore their own musical styles. All throughout the world, players of the game get together to make music and share it with one another. sprunki incredibox

A wide range of challenges await you as you make your way through the game’s numerous levels. It will take practice to get through the more difficult

A wide range of challenges await you as you make your way through the game’s numerous levels. It will take practice to get through the more difficult stages, so be prepared to level up your game. geometry dash lite

Analyze the narrative structure of the text ‘Frustration at the Airport’ and discuss how it contributes to the overall emotional impact of the

Analyze the narrative structure of the text ‘Frustration at the Airport’ and discuss how it contributes to the overall emotional impact of the story.

To maximize your energy while leveling up ragdoll archers and shoot down enemies with a single shot. The score is based on the number of adversaries

To maximize your energy while leveling up ragdoll archers and shoot down enemies with a single shot. The score is based on the number of adversaries shot down. ragdoll archers

See attachments please Explain in detail why you believe your Eldertopia will be beneficial. Be comprehensive in your Eldertopia. For example,

See attachments please Explain in detail why you believe your Eldertopia will be beneficial. Be comprehensive in your Eldertopia. For example, include ways that your population will maintain their physical and mental health, how they will be able to socialize, how they will interact, the purpose of your decisions, how

see attached Short paragraph of 300 words. What if the writers of the US Constitutions had not included the right of habeas corpus? How might

see attached Short paragraph of 300 words. What if the writers of the US Constitutions had not included the right of habeas corpus? How might our system of criminal justice be different today?

See attached worksheet for instructions and attachments. Use the five attachments to complete the following:

See attached worksheet for instructions and attachments. Use the five attachments to complete the following: Document 1 Title: Click or tap here to enter text. Type of document: Click or tap here to enter text. Year created: Click or tap here to enter text. Who likely read this document? Click

See Attachment Use the 5 Sources attached to Write a 2 page reflective essay that explores the following questions. You must cite (using

See Attachment Use the 5 Sources attached to Write a 2 page reflective essay that explores the following questions. You must cite (using footnotes or endnotes) if you directly quote any sources. Please only use the sources attached. 1. What did looking at all of these sources, in addition to

1. Overview As a middle manager, you have already recommended an innovation approach (incremental or discontinuous) to your organization for

1. Overview As a middle manager, you have already recommended an innovation approach (incremental or discontinuous) to your organization for implementing IoT into its product line. However, one of your organization’s key luxury-market competitors in passenger vehicles recently launched a fully autonomous luxury sedan prototype. It has announced that it

Instagram is a free social media platform for sharing photos, videos, and stories. Users can follow others, like and comment on posts, and use

Instagram is a free social media platform for sharing photos, videos, and stories. Users can follow others, like and comment on posts, and use filters and hashtags to enhance and discover content.

Are you looking for a game that is both fun and engaging? Try Geometry Dash Lite, where reflexes and music combine to create an incredibly addictive

Are you looking for a game that is both fun and engaging? Try Geometry Dash Lite, where reflexes and music combine to create an incredibly addictive experience! With eye-catching graphics, lively background music and simple yet challenging gameplay, you won’t be able to stop once you start. Try to overcome

Write a brief 2-3 page report about a health care economic issue that you have identified. Address the reasons why you selected the issue you

Write a brief 2-3 page report about a health care economic issue that you have identified. Address the reasons why you selected the issue you did; identify how this issue impacts the work of you, your colleagues, and your organization; and describe the gap that you see contributing to this

Comm 106i: Midterm Reflection Essay 1 Due: Friday, April 25, 11:59pm on Canvas In class

Comm 106i: Midterm Reflection Essay 1 Due: Friday, April 25, 11:59pm on Canvas In class peer review session: Wednesday, April 23 Paper reflection log due Wednesday, April 23 at the start of class for a check off How do internet companies affect life, work, and relationships in your community? How

Select two of the unit student learning outcome (USLO) prompts below to respond to in this week’s reflection. USLO 3.1 Identify the structure and

Select two of the unit student learning outcome (USLO) prompts below to respond to in this week’s reflection. USLO 3.1 Identify the structure and function of the heart. USLO 3.2 Differentiate the pulmonary and systemic circuits. USLO 3.3 Identify the events in an action potential that are generated in cardiac

Create a brochure advertising various positions within counseling agencies/human services organizations. When you describe the positions, be specific

Create a brochure advertising various positions within counseling agencies/human services organizations. When you describe the positions, be specific in noting academic and licensure credentials and other relevant information.