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PA School Survival
Didactic Year
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PANCE Body Systems
Cardiovascular
11%
Pulmonary
9%
Gastrointestinal/Nutrition
8%
Musculoskeletal
8%
Neurology
7%
Infectious Disease
7%
Psychiatry/Behavioral
7%
Reproductive
7%
Endocrine
6%
Eyes/Ears/Nose/Throat
6%
Hematology
5%
Renal
5%
Genitourinary
4%
Dermatology
4%
Weights are study aids — verify each exam cycle.
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Gastrointestinal/Nutrition
GERD
GERD
Gastrointestinal/Nutrition · ~8% of blueprint
Pathophysiology
Incompetent lower esophageal sphincter → retrograde acid reflux → esophageal mucosal injury.
Signs & Symptoms
Heartburn (worse lying down/after meals), regurgitation, dysphagia; chronic cough/hoarseness.
Gold Standard Diagnosis
Clinical; EGD for alarm features; 24-hour pH monitoring is the gold standard for diagnosis.
First-line Treatment
Lifestyle changes + PPI (first-line); H2 blockers for milder disease.
Drug cards
Omeprazole
Famotidine
High-Yield Pearl
Alarm features (dysphagia, weight loss, bleeding, anemia) → endoscopy to exclude Barrett’s/cancer.
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More Gastrointestinal/Nutrition conditions
Acute Pancreatitis
Peptic Ulcer Disease
All Gastrointestinal/Nutrition