Please Answer Following Assignment Help: How to Answer This Question

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Original Question

Please answer one (1) of the following questions. At the end of your responses cite resources used, you may use your pathophysiology text, online scholarly resources all within the last 6 years. Question 1: TS is 67 years old, with a long history of knee osteoarthritis for which he self-medicates regularly with over-the-counter (OTC) naproxen. He is in the clinic today complaining of a swallowing difficulty that has progressively worsened over the past several months. He has otherwise been healthy and has not seen a doctor in many years. He denies significant past medical history. A review of systems is negative except for arthritic symptoms and swallowing difficulty. He denies noticing blood in his stool or vomiting blood. He denies history of gastroesophageal reflux disease (GERD) or ulcer. He does not drink alcohol, although he drank heavily many years ago. He does not smoke. The dysphagia he describes thus: “Food gets stuck in my throat and I can’t get it down.” The feeling occurs only after he has ingested solid food; liquids are not a problem. There is burning chest pain associated with meals. He is scheduled for an upper GI endoscopy. 1. What is the likely cause of the dysphagia? 2. What advice should he be given regarding his OTC medication at this time? 3. What are the usual signs and symptoms of GERD? How will it be managed? Question 2: Discuss the pathophysiology of both alcoholic and biliary cirrhosis. Next, discuss the causation, treatment options, and prognosis for both. And lastly, discuss the major complications of liver dysfunction: portal hypertension, ascites, hepatic encephalopathy, jaundice, and hepatorenal syndrome. Answer the questions and in your response to other students elaborate on the disease process, treatment options, teaching points, diagnostic testing, etc. Be sure to cite sources.

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