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  #1  
Old 08-12-2011
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Default low esophageal pH

A 5-month-old child regularly regurgitates a large portion of her feeds. A pH probe study showed significant periods of low esophageal pH. The child has normal growth and no other significant past medical history. Which of the following is the best management at this point?
Barium swallow and upper GI series
Oral reflux medications
Esophageal manometry
Close observation only
Surgical correction with fundoplication
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Old 08-12-2011
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Quote:
Originally Posted by usmleman2020 View Post
A 5-month-old child regularly regurgitates a large portion of her feeds. A pH probe study showed significant periods of low esophageal pH. The child has normal growth and no other significant past medical history. Which of the following is the best management at this point?
Barium swallow and upper GI series
Oral reflux medications
Esophageal manometry
Close observation only
Surgical correction with fundoplication
I think the problem is the LES isn't contracting, so you are having the acid constantly erode the esophagus (low pH) and also its causing regurgitation, I think in this case, cheapest management is B) Oral Reflux Medication? Perhaps some Metoclopramide that will increase LES Tone while enhancing gastric motility?
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Old 08-12-2011
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i would go wid A0. barium swallow nd upper GI series..
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Old 08-12-2011
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Esophageal manometry
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Old 08-12-2011
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i think Oral reflux medications
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Old 08-12-2011
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esophageal manometry
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Old 08-12-2011
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Esophageal manometry.
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Old 08-12-2011
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esophageal manometry according to goljan r.r .. its used to check tone of LES ..
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Old 08-12-2011
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Default Close Observation only

Wait and watch for the child to develop normal oesophageal tone,more over over fed infants tend to spit out food..other point is child hass normal growth which again favours the point of adequate nutrition..Correct me if am wong






Quote:
Originally Posted by usmleman2020 View Post
A 5-month-old child regularly regurgitates a large portion of her feeds. A pH probe study showed significant periods of low esophageal pH. The child has normal growth and no other significant past medical history. Which of the following is the best management at this point?
Barium swallow and upper GI series
Oral reflux medications
Esophageal manometry
Close observation only
Surgical correction with fundoplication
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  #10  
Old 08-13-2011
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usmleman2020


Pls post answer, thanks!
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Old 08-13-2011
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Oral reflux meds
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Old 08-13-2011
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Barium swallow and upper GI series
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