Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Case 4

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?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Audience Adaptation

2 2 Week 1: Assignment – Concept Worksheet: Professional Writing in Nursing Winnie Nyamapfumba Nightingale College English 311-Professional and Academic Writing Professor Melodie Rodgers January 11, 2026 Week 1: Assignment – Concept Worksheet: Professional Writing in Nursing According to Dr. Nancyruth Leibold in her article, “Writing in Nursing,” she emphasizes

discussion

what is the best way to begin this discussion Discussion 1 Case Study Discussion Prompt Topic: Advances in Human Physiology and Their Future Impacts When participating in the discussion board, please ensure that all replies are respectful, polite, and constructive. Negative talk and disrespectful comments will not be tolerated. Focus

HIMS 655 ASS3

The US healthcare system uses various data sets for the collection and reporting of healthcare data that include UHDDS, UACDS, OASIS, DEEDS, and HEDIS, amongst others. Explain what these acronyms stand for. What are their functions? In which healthcare system they are used? What data elements do they collect? Make

HIMS 645 ASS3

Imagine you have been hired as the HIM Director by a local healthcare facility that has just implemented Electronic Health Records (EHR). You were asked to provide access three levels of staff (doctors, nurses, and medical office staff) and to ensure that they can perform their required functional activities in

MS 2

Milestone Two Template BIO 212: Microbiology Name: Title of your presentation: What type of software or application will you be using for your final presentation (PowerPoint, PowerPoint with voice-over, etc.)? Outline Complete the sections with short sentences or sentence fragments. You should provide enough information to show that you have

HIMS 645 D3

  Imagine you have been hired as a data quality manager by a local healthcare facility (define your choice of a facility) that has not yet had any healthcare data quality policy. You were tasked to develop it.  Discuss the role of healthcare data quality policy in your chosen organization

FAN

FIN 5130 Mini-case 1 Real-world Application: Risk and Return Dr. Darshana Palkar Page 1 of 3 This assignment will require you to analyze time series of monthly returns of different securities. [5 points] 1) Pick FOUR companies as follows from Yahoo! Finance website: i. For each company of your choice,

Species

See attached Species: Harpia harpyja; Kemp’s ridley turtle BIO 330 Milestone One Guidelines and Rubric For this milestone, submit a literature review and indicate the species you have selected for your final project. The literature review must address the critical elements listed below and must include at least four primary and

HIMS 645 ASS 2

COVID-19 pandemic gravely affected the entire world. Being a pandemic, the outbreak required monitoring the infection rate both at the national and international levels. Which agencies collected COVID-19 related information nationally and internationally and by what method(s)? Were the methods used the same or different? Why? Assess the role of

HIMS 645 D1

 Two types of data contained in healthcare databases are Primary and Secondary depending on their sources. Pick a Healthcare organization (offer its description in 2-3 sentences). Identify the sources of primary and secondary data collected and used in that organization. Which of these sources and types of data is more reliable

HIMS 655 D2

  As a health Information management (HIM) manager, you have been assigned to review a Physicians’ documentation for completeness of a patient’s health record in EHR. Which elements of the documentation would you look for in the health record and what is the rationale for your selection of these elements?

Help

AHS1650-2 Procedural Coding Competency Checklist Name: ____________________________Date: ____________________________Score: ________________ AHS1650-2 Perform Procedural C Performance Objective: The student will be able to properly codes procedures using the current CPT manual including CPT sections anesthesia, surgery, pathology and laboratory, medicine, and radiology. Task: Locate CPT codes in sections anesthesia, surgery, pathology and

HIMS 655 ASS1

  Electronic Health Record (EHR) is a computer application for recording and retrieving patient information by authorized individuals.  However, authorized individuals can perform only the allowed activities with EHR – view, add, modify, update, and delete information based on their level of access configured through permissions.  If you are working

Biology Assignment 3

Click on the method names below to download a sample Excel spreadsheet displaying each. Averaging Download Averaging Averaging with Seasonality Download Averaging with Seasonality Exponential Smoothing Download Exponential Smoothing Exponential Smoothing with Seasonality Download Exponential Smoothing with Seasonality Exponential Smoothing with Trend Download Exponential Smoothing with Trend Exponential Smoothing with