1
Q
Burning epigastric pain, positional, dry cough, relates to food.
Dx
A
GORD
2
Q
When do you endoscopy GORD?
A
55 and over with alarm symptoms (dysphagia, weight loss, haematemesis)
55 and over with treatment resistant
3
Q
GORD Rx
A
Antacids
Lifestyle
PPI
H2 antagonist
4
Q
Chest pain with sweat, nausea, clammy
A
ACS
5
Q
ACS investigations
A
ECG
Training
U&e
Glucose
Cholesterol
FBC
Cxr
6
Q
ACS immediate management
A
Morphine 5-10mg IV (+metoclopramide 10mg IV)
O2 if indicated
Nitrate (gtn) if HTN /LVF or known angina
Aspirin 300mg
4th Year ACC
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