SOLVED1929

53 year old female reports heartburn for several weeks relieved by over-the-counter times she describes a water brush taste in her mouth after eating her past medical history is significant for hypertension and she takes calcium channel blocker she drinks one to two glasses of wine each night in spokes half a pack per day she is currently in the midst of rancorous divorce and acknowledges significant stress and anger she denies vomiting weight loss in dysphasia her examination is remarkable for a BMI of 31 without other abnormalities present which of the following is accurate whenn considering the evaluation and treatment of this patient? a. endoscopy should be obtained prior to treatment B. ambulatory esophageal pH monitoring is indicated prior to treatment C. lifestyle modification should include weight loss D. twice daily dosing and proton pump inhibitor is indicated
SCIENCE
HEALTH SCIENCE
NURSING

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