GERD FULL DESCRIPTION OF MEDICAL DIAGNOSIS Pharmacological: includes full prescription. As if you are writing a real prescription (cite) Non-pharmacological – besides medications, what else can be used to treat the problem that is not in the medication category Follow-up – is the patient coming back to the office for follow-up? If so, when and why did you choose that time to bring that back (cite) What to do if the patient gets worse – emergency plan if things should change (cite) Referrals – should the patient be referred to a specialist? If so, support your decision with evidence-based data. (cite) Patient Education – what else should the patient be aware of regarding the problem (cite)

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