Pe

VS: BP 134/84 mm Hg, P 82 bpm, RR 16 per minute, T 37°C (98.6°F) CV: RRR, normal S17 S2; no murmurs, rubs, or gallops

Abd: Soft, nontender, nondistended; (+) bowel sounds, (-) hepatosplenomegaly, heme (-) stool

Given this additional information, what findings are consistent with a diagnosis of GERD?

Could any of the medications listed aggravate GERD symptoms in this patient? Identify your treatment goals for this patient.

What nonpharmacologic and pharmacologic options are feasible for this patient?

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