What medication might be prescribed

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Reference no: EM133564014

Review the two patient's health information below, then answers the questions.

Patient 1:

A 43-year-old male presents with a chief complaint of recurring heartburn. The patient is a nonsmoker and drinks alcohol only socially. The patient has gained roughly 35 pounds since his last visit two years ago. The patient states that he has a dry hacking cough after eating and tends to develop heartburn after eating and sometimes when he drinks certain beverages such as coffee and iced tea. The patient also said it feels like he has a lump in his throat after eating. The man also said he did not have any issues until recently, but he has a new job that requires a lot of travel. He eats more fast food and does not work out like he used to. The physician diagnosed gastroesophageal reflux.

Patient 2:

A 54-year-old man presents with a chief complaint of heartburn. He states that this has been an ongoing issue for years, and he has been able to manage with OTC antacids. Recently; however, he has been unable to control his symptoms and needs relief. The physician refers him to a local gastroenterologist to have an EGD, more commonly known as an upper GI endoscopy. The patient underwent the procedure and it is found that the patient has a hiatal hernia and Barrett's esophagus caused by chronic GERD.

Questions:

1. What do these two patients have in common?

2. Is the cause of their mutual problem the same?

3. What medication might be prescribed for each of them?

4. Is there a difference in the medication the physician is most likely to prescribe? Why?

5. Patient 2 is diagnosed with a hiatal hernia. What is the significance of this diagnosis?

6. Would you expect the physician to order an EGD on Patient 1 in the future? Why or why not?

7. In your opinion, what other tests may be preformed on patient 1 in the future?

Reference no: EM133564014

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