nbme 1-13 - darkhorse

[ArchivalUser]

agreed....if u see the endoscopy 6mo ago...there were healing ulcers...so obviously he has responded...he is on therapy....still symptomatic....any thoughts

[ArchivalUser]

Indications for esophageal manometry and prolonged pH monitoring include the following:

1.Persistence of symptoms while taking adequate antisecretory therapy, such as PPI therapy
2.Recurrence of symptoms after discontinuation of acid-reducing medications
3.Investigation of atypical symptoms, such as chest pain or asthma, in patients without esophagitis
4.Confirmation of the diagnosis in preparation for antireflux surgery