GI1 Case C

A patient comes to your primary care clinic, Ms. Spyz Curry, complaining of chest pain. The pain feels like heartburn she's felt before. She's noticed that she's had this nagging nocturnal cough that hasn't gone away even though she doesn't feel sick. Her dentist has recently commented on the gradual disappearance of enamel to her teeth most proximal to her throat. She often feels bloated after belching.

You get an EKG:

Based on the history and EKG, you believe Ms. Spyz Curry has what?

On Physical exam, you also note bowel sounds heard over the left lung base. This changes your initial diagnosis in what way?

How do you treat Sliding Hiatal Hernias through pharmacologic and nonpharmacologic means? (Goljan)

Besides your clinical gestalt, name 3 other ways you can diagnose GERD?

Using the following image, name this complication of uncontrolled GERD:

Describe the following image, retrieved from the distal esophagus, in pathological terms:

Name 2 Complications of Barrett's Esophagus: