Results for “reflux”

A 5-week-old boy, first child, has had one week of vomiting that occurs within 30 minutes of every feed and is now forceful, landing well away from him. The vom…

Paediatrics · Pre-internship · middle twist

A 34-year-old woman describes 18 months of intermittent difficulty swallowing. From the beginning both liquids and solids have been affected, and it is worse wh…

Gastroenterology and Hepatology · Clinical rotations · common

At a six-week check, the mother of a healthy term baby says he brings up milk after most feeds and seems more settled when he is not flat on his back. Her own m…

Paediatrics · Clinical rotations · common

The parents of a healthy 3-day-old boy ask you to arrange his circumcision before they go home. They give family and cultural reasons. His foreskin is normal fo…

Paediatrics · Pre-internship · middle twist

A 4-month-old girl with a large ventricular septal defect is reviewed before surgical repair. She breastfeeds every two hours but takes 40 minutes each time, sw…

Paediatrics · Pre-internship · middle twist

A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…

Paediatrics · Clinical rotations · middle twist

A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…

Paediatrics · Clinical rotations · common

A 52-year-old man born in Vietnam, who has had schizophrenia for 25 years, comes to an emergency department with six hours of epigastric pain. He speaks limited…

Psychiatry · Pre-internship · niche

A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…

Psychiatry · Clinical rotations · common

A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…

Acute Care · Clinical rotations · middle twist

A 34-year-old schoolteacher presents with three weeks of cough. Her illness began with a runny nose and mild sore throat, after which she developed bouts of sev…

Infectious Diseases · Clinical rotations · common

A 72-year-old woman presents with an ulcer above her left medial malleolus that has been present for eight weeks. She has type 2 diabetes and smoked a packet of…

Cardiovascular · Clinical rotations · middle twist

A a 68-year-old man with a history of gastroesophageal reflux disease presents with worsening kidney function over the past two weeks. He started a proton pump…

Year 4 · Clinical rotations · common

A 54-year-old man presents with persistent heartburn and regurgitation despite six weeks of once-daily omeprazole. He has no dysphagia, weight loss, or anemia.…

Year 4 · Clinical rotations · middle twist

A 40-year-old woman presents with a 6-month history of intermittent upper abdominal discomfort described as postprandial fullness and occasional epigastric pain…

Year 4 · Clinical rotations · common

A 72-year-old woman is undergoing evaluation for persistent postprandial fullness and intermittent epigastric discomfort. She has no history of reflux or dyspha…

Year 4 · Clinical rotations · middle twist

A 58-year-old man with a 3-year history of gastroesophageal reflux disease (GERD) undergoes an upper endoscopy for ongoing reflux symptoms. Endoscopy reveals a…

Year 4 · Clinical rotations · middle twist

A 58-year-old man is undergoing evaluation for chronic upper gastrointestinal symptoms. He reports longstanding retrosternal burning, especially at night and af…

Year 4 · Clinical rotations · common

What is the first-line pharmacologic treatment for gastroesophageal reflux disease (GERD)?

Year 3 · Clinical rotations · common