PCL Week 5

Pek Har's Reflux

Pek Har, 50, presented with chest pain (burning sensation)
Past 2-3 months, usually after big meals, lying down, and being anxious.
Duration of pain: couple of hours.
Medication to alleviate: Quik-eze and Gaviscon
Similar episode 30 years ago while pregnant

Medications: CCBs and NSAIDs
Smoking: 20/d Alcohol: 1-2 glasses of wine every night
BP: 135/80 Pulse rate: 80 BMI: 32

DDx:
GERD
Dyspepsia

Fun fact:
20% of adults experience heartburn once a week

Learning issues for GERD

Definition, Stats, Differences between GERD and Dyspepsia. (What is reflux? Stats.) - Huey Ting

Pathophysiology - Jun Beng

Causes and Risk Factors - Shakir

S&S (Typical, Atypical, Alert), What is PEG feed? (www.gesa.org.au/consumer/publications/peg/PEG.pdf) - Pik Yin

Examination and Investigation - When and how investigate. Advantages and disadvantages of endoscopy. Is the finding of hiatal hernia significant? Alternatives for endoscopy for GERD. Should you look for H. pylori? Is H. pylori the culprit? - Fuad, Ewe Jin

Treatment and Management - Management of GERD (lifestyle, medical, firstline, CAM, surgical) - Alexandra Kang, Kaarthikeshen

Complications, Prognosis (Barrett's oesophagus, dysphagia and causes for dysphagia) - Mona

Articles + oesophageal cancer, types of oesophageal cancer including risks - Prisheila, Lai Kee Hao