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qq1 - surmountusmle
#11
Patient has GERD since birth and chronic wheeze is because of aspiration of the undigested food.
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#12
can gfr and creatinie vary from day to day.
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#13
Then y dnt we give give erythromycin,,which will cover both infection[wheeze,aspiration] and also has prokinetic
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#14
prokinetics ( erythromycin, metoclopramide, betanechol) are not used in infants.
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#15
they have no efficacy in treatment of GERD in children
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#16
E is d answer, this child has GERD.
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#17
EEEEE
This is GERD.
TX: 1. thickened formula + hold baby in upright position for 30 minutes
2. Ranitidin
3. Omeprazol

This baby has severe GERD, so if thickening formula and changing feeding techiques don't work, give RANITIDIN, and if RANITIDIN doesn't work give OMEPRAZOL!!!
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