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5 Cards in this Set
- Front
- Back
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clinica
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intermitee dysphagia for solid and liquids( cold)
chest pain may radiate to neck and arm like MI but not to teeth /jaw |
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ds- first line
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ba swal- corkscrew-- first line
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gold standart
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esoph manometry( high amlitude , repetitive contractuin
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tx.....
2.if esophageal non cardiac chest pain- wat to do |
first ine CCB ( nifidipine)TCA or NO( nitrates) reassurance
2- empiric PPI |
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usually recommended as the first therapeutic maneuver
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Although the treatment for diffuse esophageal spasm is not clearly defined or the subject of general expert agreement, it is clear that many cases result from uncontrolled gastroesophageal reflux. Consequently, an empiric trial of acid suppression is usually recommended as the first therapeutic maneuver.
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