Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD) can present with the same symptoms that Mr. Rosetti was experiencing. It is estimated that 18-28% of Americans have GERD (Clarett & Hachem, 2018). GERD occurs when stomach contents reflux into the esophagus and this can cause burning in the chest/esophagus. GERD is most often diagnosed based on the symptoms that the patient is having and are worse when the patient is laying down. An EGD can be performed as well to help confirm that the patient is suffering from GERD. In order to treat GERD patients should be placed on either an H2 blocker or a PPI to help reduce the acid that the patient is producing. If those work the patient will not need a further work up.
Based on his diagnosis of Unstable angina Mr. Rosetti should undergo a stress test and PCI to prevent further ischemic events from occurring in the future. He will then need to follow closely with his cardiologist to perform routine evaluations to ensure that he does not have any new obstructions developing. Weight loss and diet can also help decrease his cholesterol in turn decreasing the plaque that is building up in his arteries and help with blood pressure management. The patient can also be placed on Plavix to help with preventing an MI from occurring in the future.
References:
Clarrett, D., & Hachem, C. (2018). Gastroesophageal reflux disease (GERD). Missouri medicine. Retrieved April 15, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140167/
Ismail, T. (2020, January). Acute pericarditis: Update on diagnosis and management. Clinical medicine (London, England). Retrieved April 15, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964178/
Tabor, L., & Whitmore, T., (2018). Coronary Artery Disease. Retrieved from https://app.careonpoint.com/Search.aspx
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