Dyspepsia

Given a patient presenting with dyspepsia

  • Perform a patient-centered interview and focused physical exam, list and interpret clinical findings
  • Propose a relevant differential diagnosis that includes common causes of heartburn and less common but important causes of heartburn
  • Propose an initial work-up plan for dyspepsia, including investigations i.e. recognize appropriate indications for H. Pylori testing and when to refer for endoscopic work-up
  • Describe the approach of management of dyspepsia including non-pharmacologic and pharmacologic options 

Articles

Dyspepsia - resident one page

Wong S, Laraya N. Dyspepsia One-Page Primer. DFCM Open. 2010. Available at: http://dfcmopen.com. Attribution CC BY-NC-ND

Dyspepsia CPG June 2016

Toward Optimized Practice (TOP) Dyspepsia Working Group. 2009 Jan. Diagnosis and treatment of chronic undiagnosed dyspepsia in adults: clinical practice guideline. Edmonton, AB: Toward Optimized Practice. Available from: http://www.topalbertadoctors.org

ACG and CAG Clinical Guideline Management of Dyspepsia

Moayyedi PM, Lacy BE, Andrews CN, Enns RA, Howden CW, Vakil N. ACG and CAG Clinical Guideline: Management of Dyspepsia. Am J Gastroenterol. 2017. 112: 988–1013. doi:10.1038/ajg.2017.154

Cough. Family and Community Medicine Clerkship Core Curriculum Module

Young S, Mardimae A.  Cough.  Family and Community Medicine Clerkship Core Curriculum Module.  University of Toronto.  March 2018.doi:10.1038/ajg.2017.154