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1. GERD Lower esophageal sphincter in-
competence causes gastric acid
reflux into the esophagus, leading
to symptoms like chronic cough
and bronchospasm.
2. Barrett's Esophagus Changes in esophageal epitheli-
um due to GERD, may progress to
esophageal adenocarcinoma.
3. Metformin First-line treatment for type 2 di-
abetes, reduces triglycerides and
LDL cholesterol.
4. Lactic Acidosis Common side effect of met-
formin, characterized by symp-
toms like nausea, abdominal pain,
and tachycardia.
5. Hypothyroidism Primary treatment with levothy-
roxine (Synthroid) for thyroid hor-
mone replacement.
6. Celiac Disease Managed primarily with a
gluten-free diet to alleviate symp-
toms and prevent complications.
7. PCOS Management First-line: diet, exercise. Pharma-
cologic treatment for metabolic is-
sues like anovulation, hirsutism.
8. Hiatal Hernia
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Treatment involves PPIs, surgical
repair for large hernias, lifestyle
modifications for small hernias.
9. Peptic Ulcer vs. Gastritis Differentiated by pain alleviation
with eating in ulcers, endoscopy
diagnosis for both, H. pylori bac-
teria common in both.
10. Refractory H. pylori If initial treatment fails, quadru-
ple therapy with PPI, tetracycline,
metronidazole, and Pepto Bismol
is recommended.
11. Constipation Management Treat with saline or bulk laxa-
tives, avoid long-term use, con-
sider causes like medications, and
recommend lifestyle changes.
12. Metamucil Fiber interfering with medication
absorption, take 2 hours before
meds
13. American Dietetic Association Recommends 20-35g of fiber dai-
ly
14. Miralax Recommended for wheelchair or
bedbound patients for constipa-
tion
15. Cathartic colon Risk for laxative abusers, switch to
safer laxatives like Bulk Lax
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16. Bulk Lax Contains methylcellulose or psylli-
um for long-term constipation
17. Docusate Stool softener for constipation,
avoid using 2 laxatives from the
same category
18. Digoxin Drug affected by laxatives, counsel
to take meds 2 hours apart
19. Diarrhea in pregnant women Can lead to dehydration, requires
IV rehydration
20. Antidiarrheals Avoid in infectious diarrhea, Bis-
muth reduces symptoms
21. Pediatric vomiting Discourage antiemetics, focus on
hydration
22. Ondansetron Safe and effective for pregnancy
vomiting, off-label for hypereme-
sis gravidum
23. Vertigo Caused by ear issues, treat with
scopolamine patch or antihista-
mines
24. Anticholinergics Effective for motion sickness,
Meclizine specifically treats verti-
go
25. IBS treatment
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Dicyclomine relieves smooth mus-
cle spasm, fiber-rich diet corner-
stone
26. Lubiprostone Treatment for constipated IBS
27. Levothyroxine Treatment for hypothyroidism,
start low dose and take consis-
tently
28. Radioactive Iodine Treatment for hyperthyroidism,
monitor TSH levels
29. Peptic Ulcer Disease (PUD) Caused by HCL and Pepsin, stimu-
lated by histamine, acetylcholine,
and gastrin
30. GERD (gastroesophageal reflux disease) lower esophageal sphincter is in-
competent causing gastric acid to
go up into the esophagus
31. GERD s.s burning of chest/ chest pain
chronic cough
taste of acid
bronchospasm
asthma
esophageal strictures
32. GERD can lead to barett's esophagus
or develop rare cancer:
esophageal adenocarcinoma
33. GERD diagnosis