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Type in the name of the multiple-perspectives text.
Example: Bridge to Terabithia by Katherine Paterson
Identify an important issue from the text that is being presented from different angles. Type it in.
Example: Jesse's drawing talent.
Uso de inhibidores de la secreción del ácido gástrico
No impide el reflujo, pero mejora los síntomas
Inhibidores de la bomba de protones
Antagonistas de los receptores de histamina 2
Adoptar conductas que disminuya el reflujo y la pirosis
Algunos, pacientes pueden elevar la cabeza en las noches, y no consumir alimentos antes de acostarse.
Evitar alimentos ácidos que son irritantes
Frutas cítricas
Evitar alimentos que reducen la presión de LES
Pues lo convierte en conductores de reflujo
Alimentos grasosos, alcohol, menta, pimienta, café y té
Decide on the fourth point of view
Type in the name of the last character whose perspective on the issue you are going to present.
Example: Leslie Burke, Jesse's new next-door neighbor, and best friend.
Point of view
Type in a relevant quote that highlights the character's point of view. Try to follow a citation format: author's name, chapter, and page.
Example: I can't get the poetry of the trees,' he said. She nodded. Don't worry,' she said. You will someday. He believed her.' (Paterson, 4. 24)
METAPLASIA DE BARRETT
How is the viewpoint introduced in the story?
Choose an answer:
En la histología
Metaplasia del epitelio cilíndrico especializado
Aumenta el riesgo de una adenocarcinoma
Se reconoce en la endoscopia
Por presencia de lengüetas mucosas eritematosas
Se extiende en sentido proximal desde la unión gastroesofágica
Whose character does the third point of view belong to?
Type in his/her name.
Example: Mr. Aarons, Jesse's father.
What does the character think, say or do that suggests their perspective on the issue?
Type in a quote and try to maintain the citation format.
Example: 'He would like to show his drawings to his dad, but he didn't dare. (...) He'd thought his dad would be pleased. He wasn't. What are they teaching in that damn school? he had asked.' (Paterson, 2.8)
Se pueden descartar mediante
Endoscopia
Serie gastrointestinal proximal
Ecografía de conductos biliares
Esofagitis infecciosa
What kind of narration introduces the viewpoint?
Choose an answer:
Enfermedad ulcerosa péptica
Dispepsia
Cólico bibliar
Coronariopatía
Trastornos de motilidad esofágica
Decide on the second point of view
Name the character (it can either be the main character or one of the supporting characters) whose point of view you are presenting.
Example: Miss Edmunds, Jesse's music teacher.
Type in a quote that points out the character's position about the issue.
Try to follow a citation format: author's name, chapter, and page.
Example: 'She said he was unusually talented, and she hoped he wouldn't let anything discourage him.' (Paterson, 2. 8)
Puede relacionarse con síndromes extraesofágicos
Asma
Tos crónica
Laringtis
Erosión de piezas dentales
Menos frecuentes
How is the viewpoint introduced in the story?
Choose an answer:
Dolor torácico
Debe descartarse una cardiopatía
Disfagia
Puede conducir a estenosis péptica o adenocarcinoma
Decide on the first point of view you are going to present.
Type in the name of the character (it can either be the main character or one of the supporting characters) whose point of view belongs to.
Example: Jesse Oliver Aarons, Jr., the main character of the novel, a fifth-grader living in a rural Southern area.
Type in a relevant quote that highlights the character's point of view towards
Comprende varias manifestaciones clínicas del reflujo del contenido gástrico hacia el esófago.
Try following a citation format: author's name, chapter, and page.
Example: 'Jesse drew the way some people drank whiskey. (...) Lord, he loved to draw. (...) When he was in first grade, he told his father that he wanted to be an artist when he grew up.' (Paterson, 2. 7)
Implica que el jugo gástrico lesione el epitelio esofágico
Pepsina, bilis, y enzimas pancreáticas mezcladas con las secreciones gástricas.
La bilis puede atravesar la membrana celular y causar lesión celular grave en un entorno ácido débil.
ESOFAGITIS: Cuando el ácido gástrico y la pepsina que refluye originan necrosis de la mucosa esofágica y generan erosiones y úlceras
What type of narration introduces the viewpoint?
Choose an answer:
FACTORES QUE EXACERBAN
Obesidad abdominal
Embarazo
Estado de hipersecreción gástrica
Retraso del vaciamiento gástrico
Alteración de la peristálsis esofágica
Mecanismos dominantes de incompetencia de la unión esofagogástrica
1. Relajaciones transitorias del esfínter esofágico inferior (LES)
2. Hipotensión del LES
3. Distorsión anatómica de la unión esofagogástrica (hernia hiatal)
