atypical GERD

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atypical GERD

Internal medicine An atypical presentation of GERD which affects up to 30% of Pts with classic GERD Clinical 1. Lungs–asthma, cough, chronic bronchitis, pulmonary fibrosis, pneumonia; 2. ENT–laryngitis, sinusitis, hoarseness, vocal nodules, globus hystericus; 3. Others–noncardiac chest pain, dental erosion, hiccups Diagnosis Dx of exclusion; Hx of severe chest pain–postprandial or nocturnal; endoscopic esophagitis, < 50% of Pts; esophageal pH monitoring–85% sensitivity; test of therapy Management Unlike classic GERD, atypical GERD requires longer treatment, is less responsive to therapy; high-dose proton pump inhibitor therapy for 12 wks; nonresponders may require fundoplication. See GERD, Noncardiac chest pain.

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disease			It is extremely helpful in patients with atypical GERD symptoms, such as noncardiac chest pain, laryngitis, asthma, and chronic cough, to determine whether these symptoms are due to GERD. Management of gastroesophageal reflux disease by Saltzman, John R. / Southern Medical Journal 6-20) GERD patients who did not have heartburn were considered to have atypical GERD, and it was the prevailing belief that laryngopharyngeal symptoms were not the result of actual reflux of gastric contents into the throat, but rather the result of vagally mediated reflexes. Laryngopharyngeal reflux 2002: a new paradigm of airway disease. ... by Koufman, James A. / Ear, Nose and Throat Journal			atticotomy attics attitude attitudinal attitudinal isolation attitudinal reflex atto- ATTR amyloidosis ATTRACT attractant attraction attraction sphere attributable attributable proportion attributable risk attribute attrition attunements atychiphobia atypia atypical Atypical adenomatous hyperplasia atypical adenomatous hyperplasia-prostate atypical carcinoid Atypical depression atypical GERD atypical interstitial pneumonia atypical lipoma atypical lipomatous tumor atypical lymphocyte atypical measles atypical measles syndrome atypical mycobacterial infection atypical mycobacterium atypical nevus atypical pneumonia atypical polypoid adenomyoma atypical somatoform disorder atypical squamous cell of undetermined significance atypical transformation zone atypical verrucous endocarditis atypical vessels Au AUA aubergine AUC AUC0- Auchmeromyia audi(o)- audi- audible			atypical carcinoid Atypical Cellular Blue Nevus Atypical Chronic Lymphocytic Leukemia Atypical Chronic Myeloid Leukaemia atypical coloboma atypical coloboma atypical coloboma Atypical depression Atypical depression Atypical depression Atypical depression Atypical depression atypical disease atypical disease atypical disease Atypical Ductal Hyperplasia Atypical Endocrine Tumor of the Lung Atypical Face Pain atypical facial neuralgia atypical facial neuralgia atypical facial neuralgia atypical facial pain atypical fever atypical fever atypical fever atypical fibroxanthoma atypical fibroxanthoma Atypical gender identities Atypical gender identities Atypical gender identities atypical GERD Atypical Glands Suspicious for Malignancy Atypical Glandular Cells Atypical Glandular Cells of Undetermined Significance Atypical Hemolytic Uremic Syndrome atypical histiocytoma atypical histiocytoma Atypical Idiopathic Normal Pressure Hydrocephalus Atypical Immature Squamous Metaplastic Type Cell Atypical Infant Motivation atypical interstitial pneumonia atypical interstitial pneumonia atypical interstitial pneumonia atypical interstitial pneumonia atypical lipoma atypical lipomatous tumor Atypical Lobular Hyperplasia Atypical Localization of Immature Precursors Atypical Lumbar Scheuermann Disease Atypical lymphocyte atypical measles atypical measles atypical measles atypical measles syndrome atypical measles syndrome atypical measles syndrome Atypical melanocytic nevi of the genital type atypical mycobacterial granuloma atypical mycobacterial granuloma atypical mycobacterial granuloma atypical mycobacterial infection

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