Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
A 26-year-old business executive complained of a dull pain (heartburn) behind the sternum. The painwas postprandial (occurred after meals) and disappeared within a few minutes to an hour. It was oftenassociated with belching and often was worse on lying down or on exertion after heavy meals.Sometimes it radiated to the back, jaws, shoulders, and down the inner aspects of the arms, simulatingangina pectoris. X-rays revealed a small portion of the stomach above the diaphragm, and anendoscopic biopsy revealed mucosal inflammation. Esophageal manometry (determining pressures atthe lower esophageal sphincter, LES) revealed decreased LES pressure. Esophageal pH monitoringshowed reflux of gastric contents into the esophagus and provided direct evidence of gastroesophagealreflux. Recommended treatment for this individual is avoidance of strong stimulants of gastric acidsecretion (e.g., coffee, alcohol) and avoidance of certain drugs (e.g., anticholinergics), and specific foods(fats, chocolates, whole milk, and orange juice), and smoking, all of which reduce LES competence.Elevation of the head of the bed by about six inches is also recommended. Suggested treatments alsoinclude the use of cholinergic agonists (e.g., bethanechol) and the use of histamine (H2) antagonists(cimetidine)
1. What is the disorder of this 26-year-old business executive? Explain.
The relationship of free energy change to the concentrations of reactants and products is important because it predicts the direction of spontaneous chemical reactions.
There are two types of genetic testing: one type enables us to determine the likelihood of passing on a genetic disease, the other type tests embryos for a certain genetic condition. For what reasons should parents obtain such information and how sho..
pre-lab questions 1 how could you test to see if an enzyme was completely saturated during an experiment? 2 list three
What exactly is the role of Mg2+ in fermentation? I am unclear as to what all Magnesium does for the process. Thank you.
The rule of thumb concerning ecosystems as units that capture energy and transport it is as follows: For every jump in trophic level, the amount of available energy drops by 90%. Discuss in detail what accounts for this loss of energy? Please give..
Caught in the food web: complexity made simple-Write a three to five page paper which describes the Pomeroy article and search for more recent findings on the topic (e.g., recent advances in nitrification in our ocean)
In a plant, what would happen to a lateral bud if the shoot apical meristem were cut off versus and then auxin in lanolin were put in its place versus just lanolin?
one of the problems associated with growing plants in space is lack of gravity.
Genes A/a and B/b are linked and known to be 20 map units apart. Individuals heterozygous for both of these genes (genotypes= AB/ab) were mated with each other. If there 2000 offspring from this cross, how many of the offspring would you expect to..
a 37-week-old infant was delivered by cesarean section and discharged from a connecticut hospital when he was 10 days
describe potential implications of these characteristics and how they affect health care administrators including
Why is it a significant advantage for a virus to have a persistentlifestyle? Why does HIV package reverse transcriptase in capsid? How is an attenuated virus is made? How does the virus make sure that an RNA genome gets in everyvirion?
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd