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Heart attack

A heart attack, also called a myocardial infarction; occurs when an artery that sends blood and oxygen to the heart is blocked. Fatty, cholesterol-containing deposits build up over time, forming plaques in the heart's arteries. If a plaque ruptures, a blood clot can form. The clot can block arteries, causing a heart attack.

During a heart attack, a lack of blood flow causes the tissue in the heart muscle to die. Prompt treatment is needed for a heart attack to prevent death.

Common heart attack symptoms include:

โ€ข Chest pain that may feel like pressure, tightness, squeezing or aching.
โ€ข Pain or discomfort that spreads to the shoulder, arm, neck, jaw, teeth or sometimes the upper belly.
โ€ข Cold sweat
โ€ข Heartburn
โ€ข Lightheadedness or sudden dizziness
โ€ข Nausea or Shortness of breath

Some heart attacks strike suddenly. But many people have warning signs and symptoms hours, days or weeks in advance.


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โค3
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The stomach contents are more acidic than those of the oesophagus. When the stomach contents pass upward into the oesophagus (acid reflux), the acidity begins to erode the lining of the oesophagus, producing the burning sensation associated with heartburn. Some people experience heartburn after eating a large meal that overfills their stomach. Women sometimes get heartburn during pregnancy when the developing foetus pushes the internal organs upward. Pressure applied to the abdominal wall because of obesity also causes heartburn
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The stomach contents are more acidic than those of the oesophagus. When the stomach contents pass upward into the oesophagus (acid reflux), the acidity begins to erode the lining of the oesophagus, producing the burning sensation associated with heartburn.โ€ฆ
GASTROESOPHAGEAL REFLUX DISEASE (GERD)

๐Ÿ‘ฉ๐Ÿฝโ€๐Ÿซ Teacher: Drixel Dee


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Definition ๐Ÿฉบ

Gastroesophageal Reflux Disease (GERD) is a chronic digestive condition where stomach acid repeatedly flows back (refluxes) into the esophagus, causing irritation and inflammation of the esophageal lining.

This happens when the lower esophageal sphincter (LES) becomes weak or relaxes inappropriately ๐Ÿšชโฌ‡๏ธ.


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Pathophysiology (How it happens) ๐Ÿ”„

The LES normally acts like a valve between the stomach and esophagus

When it becomes weak or relaxed, stomach acid moves upward

Acid irritates the esophagus โ†’ causes pain, burning, and damage

Repeated exposure can lead to inflammation, ulcers, or strictures



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Causes / Risk Factors โš ๏ธ

Weak lower esophageal sphincter

Obesity ๐Ÿง๐Ÿฝโ€โ™‚๏ธ

Pregnancy ๐Ÿคฐ

Smoking ๐Ÿšฌ

Alcohol ๐Ÿท

Eating large or late meals ๐Ÿ”๐ŸŒ™

Fatty, spicy, or acidic foods ๐ŸŒถ๏ธ๐Ÿ…

Hiatal hernia



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Signs and Symptoms ๐Ÿ”ฅ

Common symptoms include:

Heartburn (burning chest pain) โค๏ธโ€๐Ÿ”ฅ

Acid regurgitation (sour/bitter taste in mouth) ๐Ÿ˜–

Chest pain (non-cardiac)

Difficulty swallowing (dysphagia)

Chronic cough or sore throat ๐Ÿ˜ท

Hoarseness of voice

Nausea ๐Ÿคข



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Complications ๐Ÿšจ

If untreated, GERD may lead to:

Esophagitis (inflammation of the esophagus)

Esophageal ulcers

Esophageal stricture (narrowing)

Barrettโ€™s esophagus (precancerous condition) โš ๏ธ



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Diagnosis ๐Ÿงช

GERD may be diagnosed using:

Patient history and symptoms

Upper GI endoscopy ๐Ÿ“ท

Esophageal pH monitoring

Barium swallow X-ray



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Management / Treatment ๐Ÿ’Š

Lifestyle Modifications ๐Ÿฅ—

Eat small, frequent meals

Avoid spicy, fatty, and acidic foods

Do not lie down immediately after eating ๐Ÿ›ŒโŒ

Elevate head of bed โฌ†๏ธ

Lose weight if overweight

Stop smoking and alcohol



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Medications ๐Ÿ’‰

Antacids (e.g., magnesium hydroxide)

Hโ‚‚ receptor blockers (e.g., ranitidine)

Proton pump inhibitors (PPIs) like omeprazole ๐Ÿ’Š



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Surgical Management (Severe cases) ๐Ÿฅ

Fundoplication surgery to strengthen the LES



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Nursing Role ๐Ÿง‘๐Ÿฝโ€โš•๏ธ

Assess pain and symptoms regularly

Educate patient on diet and lifestyle changes ๐Ÿ“š

Administer medications as prescribed

Encourage adherence to treatment

Monitor for complications



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Conclusion โœจ

GERD is a common but manageable condition. With proper lifestyle changes, medications, and patient education, symptoms can be controlled and complications prevented ๐ŸŒˆ.


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โค1
Which one will fall first when both are cut at the same time? ๐Ÿค”
Final Results
40%
A
60%
B
โค2
Ball B is attached by a string, so when the string is cut, it immediately goes to freefall with an initial downward acceleration of gravity, but
Ball A is attached by a spring, which is stretched due to the weight of the ball. When the spring is cut, the spring force immediately pulls the ball upward, that will delay its downward acceleration relative to ball B.
๐Ÿ‘2
Continuation
โค2
When the Pythagorean Theorem just isn't cutting anymore, mathematicians pull out the big guns
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