Page 248 - 2021 IDMT Digital
P. 248

PILL-INDUCED ESOPHAGITIS
          Introduction:
            •  ,QMXU\ WR WKH HVRSKDJXV WKURXJK GLUHFW  SURORQJHG PXFRVDO FRQWDFW
            •  &RPPRQO\ LPSOLFDWHG PHGLFDWLRQV
                 o  16$,'V
                 o  $QWLELRWLFV
                       ƒ  'R[\F\FOLQH
                       ƒ  7HWUDF\FOLQH
                       ƒ  &OLQGDP\FLQ
                       ƒ  7ULPHWKRSULP VXOIDPHWKR[D]ROH
            •  ,QMXU\ PRVW OLNHO\ ZKHQ SLOOV DUH VZDOORZHG ZLWKRXW ZDWHU RU ZKHQ VXSLQH  KRVSLWDOL]HG
               SDWLHQWV
          Subjective:
            •  6\PSWRPV DQG 6LJQV
                 o  6HYHUH UHWURVWHUQDO FKHVW SDLQ  RG\QRSKDJLD  DQG G\VSKDJLD VHYHUDO KRXUV DIWHU
                    WDNLQJ D SLOO
                 o  0D\ RFFXU VXGGHQO\ DQG SHUVLVW IRU GD\V
            •  )RFXVHG +LVWRU\
                 o  0HGLFDWLRQ XVDJH
          Objective:
            •  3K\VLFDO ([DP
                 o  3DOSDWLRQ RI FKHVW ZDOO PD\ UHYHDO GLVFRPIRUW
            •  7RROV
                 o  3RVVLEOH HQGRVFRS\
          Assessment:
            •  'LIIHUHQWLDO
                 o  ,QIHFWLRXV HVRSKDJLWLV  &09  &DQGLGD  +69  PHGLFDWLRQ XVXDOO\ QRW LQYROYHG
                 o  (VRSKDJHDO VSDVP  iQWHUPLWWHQW SDLQ QRW UHODWHG WR IRRG RU PHGLFDWLRQ LQWDNH
                 o  $QJLQD SHFWRULV  VXVSHFW ZLWK FDUGLDF ULVN IDFWRUV DQG FKHVW SDLQ  FDUGLDF ZRUN XS
                    QHHGHG
                 o  '\VSHSVLD  SDLQ DQG disFRPIRUW FHQWHUHG LQ WKH XSSHU DEGRPHQ  GRHV QRW LQYROYH
                    UHIOX[ RU HVRSKDJHDO V\PSWRPV
                 o  3HUIRUDWHG SHSWLF XOFHU  VXGGHQ  LQWHQVH SDLQ RYHU HSLJDVWULXP
          Plan:
            •  (OLPLQDWH RIIHQGLQJ DJHQW
            •  ,I SDLQ GRHV QRW VXEVLGH RU LV VHYHUH WKHQ D *, FRQVXOW PD\ EH QHFHVVDU\



















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