06-19-2007, 10:53 AM
is the next step in management in low grade dysplasia.
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wat - amantidine
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06-19-2007, 11:15 AM
EGD w/ Biopsy every 6 mo - to look for progression
06-19-2007, 11:21 AM
no...thats again the 2nd step
ok here 1.we treat pt aggressively for GERD in order to rule out inflammation cuz low grade dysplasia looks like inflammation. 2.we biopsy in 6 months n if pt shows no sigh ...it means ...pt had inflammation... but if its low grade dysplasia then surveillance with EGD done after every 6 months as u mentioned above.
06-19-2007, 11:23 AM
how will u know its Low Grade unless u have already done EGD prior?
So ur saying EGD shows Low grade -- Rx agressively 1st for GERD?
06-19-2007, 11:27 AM
yessss....
this is wat i just heard in IM first lecture. Acc to the teacher u treat pt agg with GERD treament..if any doubt...u an lesten to the IM DVD lecture. i don't have enuf knowledge at this moment like u do...n am not in the position to argue with u but u can make urconcept clear by listening to the lecture...n can figure it out that i am not lying. thanks
06-19-2007, 11:31 AM
I never said ur lying dear, I already listened to the dvd and I get ur point. EGD is done in any Pt < 45 y/o or w/ alarming Sx's such as weight loss, anemia dysphagia
So I just answered according to how you wrote the question. For u to know the grade an EGD w/ Biopsy must have been done.
06-19-2007, 11:34 AM
i know u wud 've listened to the DVDs by now...
but sometimes we still miss n forget imp factors... thats y i am putting these small little things in here in order to learn it good.
06-19-2007, 11:41 AM
how will u know its Low Grade unless u have already done EGD prior?
So ur saying EGD shows Low grade -- Rx agressively 1st for GERD? the aswer is u ruled out nflammation by treating pt aggress with GERD Tx.if pt did'nt recover then its low gradedysplasia then u do biopsy to confrim it.....i listened to it again n this is wat the teacher mentioned. thanks |
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