Chapter 039 Nausea, Vomiting, and Indigestion (Part 8) pptx

... H. pylori treatment or for those who are negative for the Chapter 039. Nausea, Vomiting, and Indigestion (Part 8) Table 39-3 Alarm Symptoms in GERD Odynophagia Unexplained weight loss Recurrent ... test and treat approach is advocated, with a subsequent trial of an acid-suppressing regimen offered for those who fail H. pylori treatment or for those who are negative...

Ngày tải lên: 06/07/2014, 15:21

... of Emesis Chapter 039. Nausea, Vomiting, and Indigestion (Part 1) Harrison's Internal Medicine > Chapter 39. Nausea, Vomiting, and Indigestion Nausea, Vomiting, and Indigestion: ... requires understanding of these pathways. Several brain stem nuclei—including the nucleus tractus solitarius, dorsal vagal and phrenic nuclei, medullary nuclei that...

Ngày tải lên: 06/07/2014, 15:21

... and induction of ileus. Enteric infections with viruses or bacteria such as Staphylococcus aureus and Bacillus cereus are common causes of acute vomiting, Chapter 039. Nausea, Vomiting, and ... 039. Nausea, Vomiting, and Indigestion (Part 2) Differential Diagnosis Nausea and vomiting are caused by conditions within and outside the gut as well as by drugs...

Ngày tải lên: 06/07/2014, 15:21

... evaluate for smooth muscle or neuronal degeneration. Nausea and Vomiting: Treatment Chapter 039. Nausea, Vomiting, and Indigestion (Part 4) Diagnostic Testing For intractable symptoms or ... and vomiting Tricyclic antidepressant Amitriptyline, nortriptyline Chronic idiopathic nausea, functional vomiting, cyclic vomiting syndrome Prokinet ic agents 5-HT...

Ngày tải lên: 06/07/2014, 15:21

... societies, and lymphoma. Chapter 039. Nausea, Vomiting, and Indigestion (Part 6) Gastric Motor Dysfunction Disturbed gastric motility is purported to cause acid reflux in some cases of indigestion. ... prior caustic ingestion, achalasia, and the hereditary disorder tylosis. Esophageal adenocarcinoma usually complicates long-standing acid reflux. Between 8 and 20% o...

Ngày tải lên: 06/07/2014, 15:21

... vomiting with or without nausea. Chapter 039. Nausea, Vomiting, and Indigestion (Part 3) Disordered gut sensorimotor function also commonly causes nausea and vomiting. Gastroparesis is defined ... intestinal and colonic motor activity and leads to retention of food residue and secretions, bacterial overgrowth, nutrient malabsorption, and symptoms of nausea, v...

Ngày tải lên: 06/07/2014, 15:21

... most individuals with hiatal hernias do not have excess heartburn. Chapter 039. Nausea, Vomiting, and Indigestion (Part 5) Gastrointestinal Motor Stimulants Drugs that stimulate gastric ... available in the United States, exhibits prokinetic and antiemetic effects but does not cross into most other brain regions; thus, anxiety and dystonic reactions are rare. The m...

Ngày tải lên: 06/07/2014, 15:21

... or abdominal distention. Discrimination between functional and organic causes of indigestion mandates exclusion of selected historic and examination features. Odynophagia suggests esophageal ... mesenteric ischemia, thyroid and parathyroid disease, and abdominal wall strain cause dyspepsia. Extraperitoneal etiologies of indigestion include congestive heart failure and tuber...

Ngày tải lên: 06/07/2014, 15:21

... Further Readings Chapter 039. Nausea, Vomiting, and Indigestion (Part 9) Helicobacter pylori Eradication H. pylori eradication is clearly indicated only for peptic ulcer and mucosa- associated ... implantation, and gastroplication, have been investigated in patients with refractory GERD with variable results and some adverse consequences. Some patients with functi...

Ngày tải lên: 06/07/2014, 15:21

... headache a Rheumatoid arthritis a,b Chronic low back pain b Cancer Chapter 012. Pain: Pathophysiology and Management (Part 8) Antidepressant Medications The tricyclic antidepressants [amitriptyline, ... degree of tolerance and physical dependence are likely with long-term use. Therefore, before embarking on opioid therapy, other options should be explored, and the l...

Ngày tải lên: 06/07/2014, 08:20