{"id":898,"date":"2013-10-10T14:37:49","date_gmt":"2013-10-10T14:37:49","guid":{"rendered":"http:\/\/jacobimed.org\/NS\/?page_id=898"},"modified":"2013-10-10T14:37:49","modified_gmt":"2013-10-10T14:37:49","slug":"gi-day","status":"publish","type":"page","link":"https:\/\/jacobimed.org\/old\/ambulatory\/mlove\/practical-practice\/gi\/gi-day\/","title":{"rendered":"GI Day"},"content":{"rendered":"<p>&nbsp;<\/p>\n<div class=\"Section1\">\n<h1 class=\"MsoTitle\" style=\"text-align: center;\"><strong>GI DAY<\/strong><\/h1>\n<p class=\"MsoNormal\" style=\"text-align: center;\" align=\"center\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">1.<span>&nbsp; <\/span>Your patient is a 51 yo woman who complains<br \/>\nof burning stomach, chest discomfort, and acid taste in her mouth half hour<br \/>\nafter eating.<span>&nbsp; <\/span>She has tried<br \/>\nover-the-counter antacids and H2-blockers with some but incomplete relief.<span>&nbsp; <\/span>There are no other complaints and ROS and<br \/>\nexam are negative.<span>&nbsp; <\/span>Labs are normal.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\">Do you do further diagnostic testing?<span>&nbsp; <\/span>If so what?<span>&nbsp;<br \/>\n<\/span>What are the values of UGIS, endoscopy, trial of treatment, helicobacter<br \/>\npylori testing?<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\">What are the values of various treatments?<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">2.<br \/>\nYour patient is a 51 yo woman who complains of epigastric discomfort somewhat<br \/>\nrelated to meals.<span>&nbsp; <\/span>She has tried<br \/>\nomeprazole with incomplete relief.<span>&nbsp; <\/span>Exam<br \/>\nis normal.<span>&nbsp; <\/span>Labs are normal except for<br \/>\nserum helicobacter pylori titer (IgG) positive.<span>&nbsp; <\/span><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\">Do you do further diagnostic testing?<span>&nbsp; <\/span>If so what?<span>&nbsp;<br \/>\n<\/span>What are the values of UGIS, endoscopy, trial of treatment?<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\">What are the values of various treatments?<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">3.<br \/>\nYour patient is a 31 yo woman who complains of hemorrhoids &#8211; intermittent<br \/>\nrectal pain and bleeding with sensation of external rectal mass.<span>&nbsp; <\/span>She has tried Preparation H suppositories<br \/>\nwithout much relief.<span>&nbsp; <\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\">Do you do further diagnostic testing?<span>&nbsp; <\/span>If so what?<span>&nbsp;<br \/>\n<\/span>What are the values of various treatments?<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\"><!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 0.5in;\"><span style=\"font-size: 14pt;\"><a href=\"\/ambulatory\/mlove\/practical-practice\/gi\/gi-discussion-questions.html\">NOTES FROM CLASS<\/a><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; GI DAY &nbsp; &nbsp; 1.&nbsp; Your patient is a 51 yo woman who complains of burning stomach, chest discomfort, and acid taste in her mouth half hour after eating.&nbsp; She has tried over-the-counter antacids and H2-blockers with some but incomplete relief.&nbsp; There are no other complaints and ROS and exam are negative.&nbsp; Labs are&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":895,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-898","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/comments?post=898"}],"version-history":[{"count":1,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/898\/revisions"}],"predecessor-version":[{"id":900,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/898\/revisions\/900"}],"up":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/895"}],"wp:attachment":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/media?parent=898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}