TY  - CHAP
M1  - Book, Section
TI  - Gastroenterology
A1  - Graber, Mark A.
A1  - Lee, Ye-Jin
A2  - Wilbur, Jason K.
A2  - Graber, Mark A.
A2  - Ray, Brigit E.
Y1  - 2018
N1  - 
T2  - Graber and Wilbur's Family Medicine Examination & Board Review, 4e
AB  - A  43-year-old  woman  complains  of  a  burning  pain  in  the  retrosternal  area.  Her  symptoms  started  about  2  years  ago  and  initially  responded  to  self-medication  with  antacids  or  histamine-2  receptor  antagonists  (H2  blockers).  However,  within  the  last  4  months,  she  has  had  nearly  daily  problems.  She  frequently  wakes  up  in  the  middle  of  the  night  with  retrosternal,  burning  pain,  radiating  to  her  neck.  She  also  frequently  notices  an  acidic  taste  in  her  mouth.  While  antacids  help  somewhat,  they  only  provide  transient  relief.  She  has  otherwise  been  healthy.  She  currently  takes  up  to  800  mg  of  cimetidine  per  day  plus  the  antacids.  She  denies  tobacco  or  alcohol  use.  Her  physical  examination  is  normal.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1151859976
ER  -