Page 235 - 2021 IDMT Digital

DYSPEPSIA CONTINUED
Assessment:
• 'LIIHUHQWLDO UHODWHG WR SRVVLEOH HWLRORJ\
o *(5' UHIOX[ RI VWRPDFK FRQWHQWV FDXVLQJ KHDUWEXUQ V\PSWRPV
o ,%6 cKURQLF IXQFWLRQDO GLVRUGHU FKDUDFWHUL]HG E\ DEGRPLQDO SDLQ RU GLVFRPIRUW
ZLWK DOWHUQDWLRQV LQ ERZHO KDELWV QR DEQRUPDO ILQGLQJV XVXDOO\ QRWHG
o ,%' VHYHUH DEGRPLQDO SDLQ ZLWK EORRG\ GLDUUKHD PD\ KDYH SRVLWLYH IDPLO\
KLVWRU\
o 38' EUHDN LQ JDVWULF RU GXRGHQDO PXFRVD HSLJDVWULF SDLQ LV KDOOPDUN
HQGRVFRS\ UHTXLUHG IRU GLDJQRVLV
o &KROHOLWKLDVLV JDOOVWRQHV WKDW DUH IUHTXHQWO\ DV\PSWRPDWLF DQG GHWHFWHG ZLWK
XOWUDVRXQG PD\ KDYH ELOLDU\ SDLQ LQ 584 ZLWK UDGLDWLRQ WR WKH VFDSXOD
Plan:
• 6WDUW HPSLULF WUHDWPHQW LI OHVV WKDQ \HDUV ROG ZLWK QR ³UHG IODJ´ V\PSWRPV
o 3URWRQ SXPS LQKLELWRU WULDO IRU 2- ZHHNV
ƒ ,I LPSURYHG FRQWLQXH WKHUDS\
ƒ ,I QRW LPSURYHG FRQVLGHU RWKHU FDXVHV DQG IXUWKHU WHVWLQJ
• 6HYHUH V\PSWRPV RU ³UHG IODJV´ (9$& RU WUDQVIHU
• If H. Pylori is positive, eradication therapy required - Antibiotic + PPI
(multiple regimens exist). Contact preceptor before starting any
antibiotics.
Patient Education:
• 0LOG 6\PSWRPV
o 5HDVVXUDQFH DQG OLIHVW\OH FKDQJHV
o $YRLG LQFLWLQJ IDFWRUV VXFK DV DOFRKRO DQG FDIIHLQH
o (QFRXUDJH VPDOO ORZ IDW PHDOV
• )ROORZ XS $FWLRQV
o 0LOG V\PSWRPV UHWXUQ IRU IXUWKHU HYDOXDWLRQ LI V\PSWRPV GR QRW LPSURYH ZLWKLQ
RQH PRQWK

Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103

[ 234 ]