Midterm Exam: NR569/ NR 569 (NEW 2024/ 2025 Update) Differential Diagnosis in Acute Care Practicum Review| Questions and Verified Answers| 100% Correct – Chamberlain

Midterm Exam: NR569/ NR 569 (NEW 2024/ 2025 Update) Differential Diagnosis in Acute Care Practicum Review| Questions and Verified Answers| 100% Correct – Chamberlain QUESTION Erosive esophagitis associated with epigastric pain, difficulty swallowing, and reflux. Erosive esophagitis can lead to esophageal bleeding and is commonly associated with heavy alcohol use and NSAIDs. Patients with esophagitis commonly have dysphagia characterized by intermittent burning, regurgitation, and substernal pain with typical- ly some degree of dysphagia. Erosive esophagitis most often occurs as a result of prolonged GERD and must be definitively diagnosed by endoscopy. QUESTION What's the main difference between gastritis and peptic ulcer disease? Answer: - Gastritis can progress to peptic ulcer disease when the inflammation of the stomach wall causes an irritation in the lining of the stomach. This irritation can lead to the formation of an ulcer. An endoscopy is required to confirm your diagnosis. Gastritis and peptic ulcer disease have similar clinical presentations and etiology. In both conditions, damage to the gastrointestinal mucosal lining is often preceded by an Helicobacter pylori infection. Both disease processes are aggravated by the use of NSAIDs or caffeine and lessened by antacids. Given the similarities in presentation between gastritis and peptic ulcer disease, diagnostics are needed to confirm whether an ulcer has formed. QUESTION Achalasia Answer: characterized by a lack of esophageal peristalsis and/or impaired relaxation of the lower esophageal sphincter (LES) during swallowing. Heartburn is a common symptom of Achalasia. QUESTION Non-ulcer dyspepsia Answer: also called functional dyspepsia, is characterized by symptoms of indigestion with no obvious cause. Epigastric discomfort is a common symptom of this disorder. characterized by heartburn and upper gastrointestinal symptoms, such as fullness after eating and early satiety. QUESTION Esophageal cancer Answer: Esophageal cancer is characterized by malignant cells within the esophagus. Although the symptoms of esophageal cancer vary and include heartburn, dysphagia is the more typical symptom. QUESTION Hiatal hernia Answer: A hiatal hernia is characterized by the prolapse of a portion of the stomach through the diaphragmatic esophageal hiatus. Although most individuals are asymptomatic, heartburn is a reported symptom. QUESTION GERD treatment Lifestyle Modification: Clothing, Weight loss, Symptom Jour- nal, Waiting three hours after a meal before lying down and raising the head of the bed by 8 inches. avoiding large or high-fat meals not eating before bedtime eliminating alcohol consumption which can damage the mucosa due to acidity avoiding foods associated with GERD, such as caffeine, mints, chocolate,