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Question - M.S. is a 30-year-old patient with a complaint of heartburn as well as some burning upper abdominal pain for a couple months. M.S. has tried to manage the symptoms at home. M.S has a high carb diet, and drinks 2 caffeinated sodas every day and has been under a great deal of stress over the last few months. M.S. also drinks alcohol casually and has 2-3 beers on the weekends.
1. What risk factors can you identify from the history given?
2. M.S. goes to her primary doctor. After an evaluation, an EGD is scheduled to evaluate the source of M.S. discomfort. What other questions may he ask regarding her symptoms?
3. The doctor would like start M.S. on a proton pump inhibitor. Choose one option he may use?
4. What education must be provided for M.S. regarding the medication and its use?
5. After the EGD is complete, the diagnosis of GERD and a duodenal ulcer is made. What medications would you anticipate being added to her care given her diagnosis and why?
6. What lifestyle modifications should you educate M.S. to make with her diagnosis to help improve her quality of life?
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