Acid gas reflux disease (GERD)

Subjective

Chief Compliant: Mrs. A is a very pleasant 35-year-old woman who presented to the clinic with abdominal pain that she feels in the epigastric area.

HPI: Mrs. A is a very pleasant 35-year-old woman who presented to the clinic with abdominal pain that she feels in the epigastric area. She has had this pain before, it started a year ago. She reports that the pain usually lasts for 30 minutes to an hour, usually precipitated by a large meal, but yesterday, it lasted about 5-6 hours and it was very severe and stabbing. The patient has subsided, but she is afraid to eat. She also feels a little nauseated and complains of not feeling well. On exam, she appears ill. Past medical history includes chronic cough. She denies dysuria, or urinary frequency.

ROS: Unremarkable except stated above

PMH: Chronic Cough

Objective: Her vital signs are: Oral temperature 37.5 Celsius, blood pressure 105/70, heart rate 85 and regular, respirations of 18, O2 sat 97% on room air.

Exam: General: Mrs. A 35 y/o female alert and oriented presented to be ill at this time.

I need this case study to be solve as a Family nurse practitioner working in a clinical setting. No more then two pages long. We need to talk about the diagnose (GERD), etiology of GERD, epidemiology, signs and symptoms, differentiated diagnosis: Angina, Acid gas reflux disease (GERD), H. Pyloric,dypepsia, esophagitis, Test to order for GERD, management, nonpharmacotherapy and pharmacotherapy, educating the patient from nurse practitioner to patient.

Single space, 2 pages, 3-4 references