What are the 5 layers, or strata, of the epidermis. Write the function of each layer next to the label.

The antibiotic given for prophylaxis in post-splenectomy or hyposplenic patients is penicillin.

Post-splenectomy or hyposplenic patients are at an increased risk of infection, particularly from encapsulated bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis.

To reduce this risk, prophylactic antibiotics like penicillin are administered. Penicillin is commonly used because of its effectiveness against these bacteria and its relatively low side effect profile.

Hence,  Penicillin is the recommended antibiotic for prophylaxis in post-splenectomy or hyposplenic patients to protect against infections, particularly from encapsulated bacteria.

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Contact dermatitis is an inflammatory skin condition that occurs when the skin comes into contact with an irritant or allergen. The treatment for contact dermatitis typically involves avoiding the offending substance and using topical medications to soothe the skin and reduce inflammation.

Topical corticosteroids are the most commonly prescribed medication for contact dermatitis. They work by reducing inflammation and itching in the affected area. There are different strengths of corticosteroids, and the appropriate strength will depend on the severity of the reaction. In some cases, other topical medications such as calcineurin inhibitors (such as tacrolimus or pimecrolimus) or topical antihistamines (such as diphenhydramine) may be used to reduce inflammation and itching.

In severe cases of contact dermatitis, oral corticosteroids or immunosuppressants may be prescribed to help reduce inflammation throughout the body. However, these medications are typically reserved for more severe cases and are not usually needed for mild or moderate contact dermatitis.

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The most likely diagnosis for the 65-year-old male with a history of coronary artery bypass grafting, palpitations, and loss of consciousness is an arrhythmia, and prompt medical evaluation and treatment are necessary to manage this condition effectively.

Based on the information provided, the most likely diagnosis for the 65-year-old male who experienced a fall and loss of consciousness (LOC) with recent palpitations and history of coronary artery bypass grafting is an arrhythmia. Arrhythmia is a condition where the heart beats irregularly or too fast, causing palpitations, dizziness, and in some cases, loss of consciousness. This condition can be triggered by various factors, including previous heart surgery, age, and underlying heart conditions.

It is essential for the patient to undergo a thorough medical examination, including cardiac monitoring and blood tests, to determine the exact cause of his symptoms. Further diagnostic tests such as an electrocardiogram (ECG) or Holter monitor may be needed to monitor the heart's rhythm and detect any abnormal activity. Treatment options for arrhythmia include medication, lifestyle changes, and in severe cases, medical procedures such as catheter ablation or implantable devices such as pacemakers or defibrillators.

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Inhalant intoxication manifest can occur when an individual inhales or sniffs substances that produce vapors. These substances can include chemicals found in household products such as cleaning agents, aerosol sprays, and glue. Inhalant intoxication can lead to various symptoms at high doses.

These symptoms can include hallucinations, disorientation, dizziness, and loss of coordination. Other symptoms can include nausea, vomiting, and headaches. At extremely high doses, inhalant intoxication can cause seizures, coma, and even death. It is essential to recognize the signs and symptoms of inhalant intoxication and seek immediate medical attention if an individual is experiencing them. Individuals who abuse inhalants may experience long-term damage to their organs, including the brain, liver, and kidneys. Inhaling certain chemicals can cause permanent damage to the nervous system and lead to cognitive impairment. In conclusion, inhalant intoxication manifest can lead to a range of symptoms at high doses, from mild disorientation and headaches to seizures and coma. It is crucial to recognize the signs of inhalant abuse and seek help for individuals who may be struggling with this dangerous addiction.

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Based on the presented symptoms, it is possible that the 50-year-old male has sustained a shoulder dislocation.

The deformity and inability to move the arm are common signs of a dislocated shoulder. However, further examination and medical imaging will be necessary to confirm the diagnosis. It is essential to seek medical attention immediately as untreated dislocations can lead to long-term complications such as nerve and blood vessel damage. A healthcare professional will evaluate the extent of the injury and may recommend non-surgical or surgical treatment options depending on the severity. In some cases, physical therapy may also be necessary to restore mobility and strength to the affected shoulder. It is crucial to follow the prescribed treatment plan to ensure proper healing and avoid future complications.

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Based on the symptoms presented, the patient may be experiencing meningitis. The high fever, severe headache, confusion, photophobia, and nuchal rigidity are all common symptoms of meningitis.

The positive signs of Kernig's and Brudzinski's are also indicative of meningitis. Kernig's sign is when the patient has difficulty straightening their leg when it is bent at the knee, and Brudzinski's sign is when the patient involuntarily lifts their legs when the neck is flexed. A lumbar puncture may be done to confirm the diagnosis and to determine the type of meningitis (viral or bacterial). Treatment will depend on the type of meningitis diagnosed and may include antibiotics or antiviral medication. It is important to seek medical attention immediately as meningitis can be life-threatening if left untreated.

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True, a stress fracture can be considered an example of a pathological fracture. A pathological fracture is a break in a bone that occurs due to the presence of an underlying disease or condition, which weakens the bone and makes it more susceptible to injury.

In the case of a stress fracture, repetitive stress and microtrauma cause the bone to weaken and eventually fracture.

Stress fractures are commonly seen in athletes or individuals who participate in activities that involve repetitive force on a particular bone. This constant stress can lead to an imbalance in the bone's remodeling process, where bone resorption outpaces bone formation. As a result, the bone becomes weakened and may eventually crack or break due to the constant pressure applied to it.

Some common risk factors for stress fractures include overuse, sudden increase in activity levels, improper footwear, and poor biomechanics. Stress fractures can also be more prevalent in certain populations, such as female athletes with the Female Athlete Triad (a combination of disordered eating, amenorrhea, and osteoporosis), which can further weaken the bones.

To prevent stress fractures, it is important to follow a gradual training program, ensure proper footwear and biomechanics, and maintain a healthy, balanced diet to support bone health. Early diagnosis and appropriate treatment are essential in managing stress fractures and preventing further complications.

In conclusion, a stress fracture is an example of a pathological fracture, as it results from the underlying weakening of the bone due to repetitive stress and microtrauma.

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On a Fosamax Rx, the appropriate auxiliary label to apply would be:

"Take on an empty stomach"

This is because Fosamax, a medication used to treat osteoporosis, is best absorbed when taken on an empty stomach.

Fosamax is a medication used to treat osteoporosis, a condition in which bones become weak and fragile, increasing the risk of fractures. It works by slowing down the breakdown of bone and increasing bone density. However, Fosamax needs to be taken on an empty stomach to ensure proper absorption and to avoid interactions with other medications or foods that could reduce its effectiveness.

In addition to the "Take on an empty stomach" label, other auxiliary labels that may be applied to a Fosamax prescription could include "Do not lie down for at least 30 minutes after taking medication," "Avoid taking calcium supplements, antacids, or other medications within 30 minutes of taking Fosamax," and "Report any unusual side effects, such as difficulty swallowing or chest pain, to your healthcare provider immediately." These labels can help ensure that the medication is taken safely and effectively.

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Domestic wastewater which passes through a sewer system to a POTW is not considered to be a hazardous waste.

Domestic wastewater is not considered hazardous waste because it mainly consists of organic matter and human waste, which can be treated and safely released back into the environment. When wastewater is transported through a sewer system to a Publicly Owned Treatment Works (POTW), it undergoes a treatment process that removes harmful contaminants and pollutants. The treated wastewater is then discharged into nearby water bodies, such as rivers or oceans, where it eventually gets diluted and naturally filtered. However, industrial wastewater may contain hazardous chemicals, and special regulations and handling procedures are required to ensure its safe disposal.

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There are several potential causes for foot pain during sleep, and the differential diagnosis may include plantar fasciitis, peripheral neuropathy, Morton's neuroma, stress fractures, arthritis, and gout, among others.

1. Plantar fasciitis: This is a common cause of heel pain that occurs due to inflammation of the plantar fascia, the tissue connecting the heel bone to the toes.
2. Achilles tendinitis: This condition involves inflammation of the Achilles tendon, which can cause pain in the back of the foot and ankle.
3. Tarsal tunnel syndrome: This is a compression neuropathy of the posterior tibial nerve, leading to pain, numbness, and tingling in the foot.
4. Gout: A form of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in joints, often affecting the big toe.
5. Peripheral neuropathy: This condition, often associated with diabetes, results from damage to the peripheral nerves, causing pain, numbness, and tingling in the feet.
6. Restless leg syndrome: This is a neurological disorder that causes an uncontrollable urge to move the legs, often accompanied by foot and leg pain during sleep.

In summary, the differential diagnosis of foot pain during sleep is broad and requires a detailed evaluation by a medical professional to determine the underlying cause and appropriate treatment plan.

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Syncope secondary to arrhythmia; evaluate with ECG and imaging.

The possible diagnosis for this patient is syncope secondary to cardiac arrhythmia. Syncope is a sudden loss of consciousness due to decreased cerebral blood flow.

The patient's history of palpitations suggests an underlying arrhythmia, which may have caused the syncope. His past history of CABG may also increase his risk for arrhythmias.

The following steps may be taken to further evaluate and manage this patient:

Overall, it is important to promptly evaluate and manage patients with syncope, as it may be a sign of a potentially life-threatening underlying condition

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Based on the symptoms provided, the most likely diagnosis would be a seizure. It is important to note that there are many different types of seizures and further evaluation by a medical professional would be necessary to determine the specific type and cause.

The diagnosis for the 26-year-old male who presented after falling and losing consciousness at work, experiencing rhythmic movements of the limbs, biting his tongue, losing control of his bladder, and being confused upon regaining consciousness is most likely a seizure, specifically a tonic-clonic seizure.

A tonic-clonic seizure, also known as a grand mal seizure, typically involves the following steps:

1. Sudden loss of consciousness and falling down (as experienced by the patient)
2. Rhythmic movements of the limbs (as described)
3. Possible biting of the tongue and loss of bladder control (as mentioned)
4. Confusion or disorientation after regaining consciousness (postictal state, as witnessed by colleagues)

Further details such as medical history, medication use, and family history would also be helpful in making a definitive diagnosis. It's essential for the patient to consult a healthcare professional for a thorough evaluation and proper management of the condition.

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The most likely diagnosis for a 40-year-old female presenting with occasional double vision and droopy eyelids at night with normalization by morning is myasthenia gravis.

Myasthenia gravis is a neuromuscular disorder that affects the transmission of signals between the nerves and the muscles, leading to muscle weakness and fatigue. The symptoms of myasthenia gravis are often intermittent, with periods of exacerbation followed by periods of improvement. Double vision and droopy eyelids are common symptoms of myasthenia gravis, especially when they occur in the evening or after prolonged use of the affected muscles.

If a 40-year-old female presents with occasional double vision and droopy eyelids at night with normalization by morning, myasthenia gravis should be considered as a possible diagnosis. Further diagnostic testing, including blood tests and electromyography, may be necessary to confirm the diagnosis and determine the most appropriate course of treatment.

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Thorough diagnostic workup will be performed to identify the cause of the young lady's intermittent abdominal pain and develop an appropriate treatment plan.

The diagnostic workup for a young lady with many years of intermittent abdominal pain should include the following steps:

1. Obtain a detailed medical history: Gather information on the patient's past medical history, family history, and any relevant factors that may contribute to the abdominal pain.

2. Conduct a physical examination: Assess the patient's general appearance, abdomen for tenderness or masses, and any other signs related to abdominal pain.

3. Perform laboratory tests: Order blood tests (e.g., complete blood count, liver function tests, electrolytes) and urine tests (e.g., urinalysis) to evaluate for potential underlying conditions.

4. Use imaging studies: Depending on the clinical findings, imaging studies such as abdominal ultrasound, CT scan, or MRI may be ordered to identify any abnormalities or causes for the pain.

5. Consider endoscopic procedures: If necessary, endoscopy (e.g., upper endoscopy or colonoscopy) can be used to further evaluate the gastrointestinal tract.

6. Consult specialists: If the cause of abdominal pain remains unclear, consult a gastroenterologist or other relevant specialists for further evaluation and management.

By following these steps, a thorough diagnostic workup will be performed to identify the cause of the young lady's intermittent abdominal pain and develop an appropriate treatment plan.

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The brand name for the fentanyl patches that Mr. Tarnovsky requested in his e-prescription is Duragesic.

Fentanyl patches are transdermal patches used to treat chronic, severe pain. The patch works by delivering a continuous dose of fentanyl, a potent synthetic opioid, through the skin and into the bloodstream. Possible side effects include headache, nausea, constipation, and dizziness. Duragesic patches come in two sizes: 12.5 mcg/h and 25 mcg/h, and also come in a 40 mcg/h, 50 mcg/h, 75 mcg/h, and 100 mcg/h extended release patch. It is important to note that Duragesic patches should not be used to treat pain that is mild or that will go away in a few days.

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The ideal type of exercise for Angelica to start practising to combat the possible issue of osteoporosis is weight-bearing workouts.

Any exercise that forces the body to defy gravity while upright, such as walking, running, trekking, dancing, or playing tennis, is considered a weight-bearing exercise. These exercises have been proven to strengthen bones and increase bone density, which can lower the risk of osteoporosis.

Weightlifting and other major muscle-group focused strength training activities can also be advantageous for bone health. Walking, dancing, low-impact aerobics, elliptical machines, stair climbing, and gardening are a few examples. These exercises reduce mineral loss by directly affecting the bones in your legs, hips, and lower spine.

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Fitz-Hugh-Curtis syndrome is a diagnosis related to abdominal pain differential diagnoses (Ab Pain DDX). It is a rare condition characterized by inflammation of the liver capsule, often associated with pelvic inflammatory disease.

The primary symptom is sharp, severe pain in the upper right quadrant of the abdomen. Accurate diagnosis is essential for appropriate treatment and management of the condition. Fitz-Hugh-Curtis syndrome is a rare complication of pelvic inflammatory disease (PID) that involves inflammation of the liver capsule and the lining of the abdominal cavity. It is named after the three physicians who first described the condition in 1930. Fitz-Hugh-Curtis syndrome typically occurs in women of reproductive age who have untreated or inadequately treated PID. The infection can spread from the uterus and fallopian tubes to the liver capsule and the lining of the abdominal cavity, causing inflammation, scarring, and the formation of adhesions between organs.

Symptoms of Fitz-Hugh-Curtis syndrome may include:

Pain in the upper right abdomen that may be severe and persistent Pain that worsens with movement or breathing Nausea and vomiting Low-grade fever Diagnosis of Fitz-Hugh-Curtis syndrome is based on a combination of clinical symptoms, physical examination, and imaging studies, such as ultrasound or CT scan. Treatment typically involves antibiotics to treat the underlying PID infection and pain management.

If left untreated, Fitz-Hugh-Curtis syndrome can lead to chronic pain, liver damage, and other complications. It is important to seek medical attention promptly if any symptoms of pelvic inflammatory disease or Fitz-Hugh-Curtis syndrome are present.

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The symptoms described suggest a possible diagnosis of secondary syphilis.

The symptoms described are classic signs of secondary syphilis, a sexually transmitted infection caused by the bacteria Treponema pallidum. The bilateral, symmetric rash on the palms, soles, and body is often accompanied by mucous patches on the mouth and tongue. Alopecia or hair loss may also be present. These symptoms typically develop several weeks after the initial infection and may occur in conjunction with other symptoms, such as fever, fatigue, and joint pain. If left untreated, syphilis can progress to more serious stages and cause significant damage to the heart, brain, and other organs. Early diagnosis and treatment with antibiotics can effectively cure the infection and prevent further complications.

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Outbreaks of genital herpes simplex 2 can be exacerbated by a variety of factors, including stress, illness, hormonal changes (such as during menstruation), and certain medications that weaken the immune system.

Additionally, sexual activity can also trigger outbreaks. It is important for individuals with genital herpes simplex 2 to identify their personal triggers in order to take steps to prevent outbreaks or reduce their severity. Consulting with a healthcare provider can also provide guidance on managing outbreaks and reducing the risk of transmitting the virus to others.
Outbreaks of genital herpes simplex 2 (HSV-2) are exacerbated when factors such as stress, illness, weakened immune system, hormonal fluctuations, or skin irritation trigger the reactivation of the virus, leading to an increase in the frequency and severity of symptoms.

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The medication that would indicate Mr. Jeffers is being treated for high cholesterol is Zocor. Zocor, also known as simvastatin, is a statin medication that is commonly prescribed to treat high cholesterol. Statins work by blocking an enzyme in the liver that is responsible for producing cholesterol.

By reducing the amount of cholesterol in the bloodstream, statins can help to lower the risk of heart disease, stroke, and other related conditions. High cholesterol is a common condition that affects many people, and it can be caused by a variety of factors, including genetics, lifestyle choices, and underlying medical conditions. If left untreated, high cholesterol can lead to serious health problems, including heart disease and stroke.

If Mr. Jeffers has been prescribed Zocor, it is important that he follows his doctor's instructions carefully and takes the medication as directed. He should also make lifestyle changes, such as eating a healthy diet, exercising regularly, and quitting smoking if he smokes, to help manage his cholesterol levels. With the right treatment and lifestyle changes, Mr. Jeffers can reduce his risk of heart disease and live a healthier, more active life.

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True. Wernicke's encephalopathy is a type of brain damage caused by a lack of vitamin B1 (thiamine) and if left untreated, it can be irreversible.

An explanation for this is that the damage to the brain cells caused by the thiamine deficiency can lead to permanent neurological impairments.
True or false: Wernicke's encephalopathy is irreversible.

With timely and appropriate treatment, such as thiamine supplementation and proper nutrition, the symptoms and damage can be reversed. However, if left untreated or not treated early enough, it may progress to a more severe and irreversible condition called Wernicke-Korsakoff syndrome. The key to preventing irreversible damage is early recognition and treatment of Wernicke's encephalopathy.

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The characteristic that would differentiate psychophysiological disorders from somatic symptom disorders is the presence of underlying pathophysiology. Psychophysiological disorders, also known as psychosomatic disorders.

These are physical illnesses that are caused or exacerbated by psychological factors such as stress or anxiety. These disorders involve a clear physiological mechanism and often have identifiable physical symptoms that can be objectively measured, such as increased heart rate or blood pressure. In contrast, somatic symptom disorders are characterized by excessive or persistent physical symptoms that are not fully explained by an underlying medical condition. These symptoms are often linked to psychological factors, but there is no clear physiological mechanism involved. Therefore, the presence of underlying pathophysiology is the key characteristic that distinguishes psychophysiological disorders from somatic symptom disorders.

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The best treatment for Ramsay Hunt syndrome typically involves a combination of antiviral medications, such as acyclovir or valacyclovir, and corticosteroids, like prednisone, to reduce inflammation and promote recovery.

The best treatment for Ramsay Hunt syndrome typically involves antiviral medication, such as acyclovir, to reduce the severity and duration of symptoms.

Additionally, medications such as corticosteroids may be prescribed to reduce inflammation and swelling. It's important to seek medical attention promptly if you suspect you may have Ramsay Hunt syndrome, as early treatment can improve outcomes.

Early treatment is crucial for better outcomes. Additional therapies, like pain management and physical therapy, may also be recommended depending on the individual's symptoms.

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SNRI, or serotonin-norepinephrine reuptake inhibitors, are a class of antidepressants that can be used to treat symptoms of PTSD such as anxiety and depression. The two main SNRIs that are approved by the FDA for the treatment of PTSD are duloxetine (Cymbalta) and venlafaxine (Effexor).

Duloxetine works by increasing levels of serotonin and norepinephrine in the brain, which can help to regulate mood and reduce anxiety. It has been shown to be effective in reducing both anxiety and depression symptoms in individuals with PTSD.

Venlafaxine also works by increasing levels of serotonin and norepinephrine, but at higher doses, it can also affect dopamine levels. It has been shown to be effective in reducing symptoms of PTSD, including anxiety and depression.

It is important to note that SNRIs are not a cure for PTSD, and they may not work for everyone. It is also important to work closely with a healthcare provider to determine the best treatment plan, as SNRIs can have side effects and may interact with other medications. Additionally, therapy and other forms of support may be necessary for long-term management of PTSD symptoms.

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Selective serotonin-norepinephrine reuptake inhibitors (SNRIs) such as Venlafaxine and Duloxetine are antidepressant medications that can be used to treat various conditions, including post-traumatic stress disorder (PTSD).

Depression is a mental health disorder characterized by persistent feelings of sadness, loss of interest or pleasure in activities, and a range of physical and cognitive symptoms.

Some key features of depression include:

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The patient should be advised to take steps to reduce stress in her life, which may help to alleviate the headaches. It is also important to monitor the patient's symptoms and adjust treatment as necessary.

Based on the information provided, the likely diagnosis for the 50-year-old female with recurrent episodes of bilateral squeezing headaches is tension-type headache (TTH). TTH is the most common type of headache and is often associated with stress, anxiety, or depression. The fact that the headaches occur towards the end of her workday, which is usually a stressful time, further supports this diagnosis.

The symptoms of TTH include a dull, squeezing pain on both sides of the head, which can last from 30 minutes to several hours. The frequency of the episodes, 3-4 times a week, is also characteristic of TTH. However, it is important to rule out other potential causes of headache, such as migraines or cluster headaches, which may require different treatment approaches.

To confirm the diagnosis, the patient should undergo a thorough physical and neurological examination, along with imaging tests, if necessary. Once diagnosed, treatment options for TTH include stress reduction techniques, such as relaxation exercises, cognitive-behavioral therapy, and over-the-counter pain relievers such as ibuprofen or aspirin.

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The symptoms presented by the 35-year-old female patient, including amenorrhea (absence of menstruation), galactorrhea (abnormal lactation), visual field defects, and headaches for the past six months, strongly suggest a diagnosis of a pituitary adenoma, specifically a prolactin-secreting pituitary tumor known as a prolactinoma.

Prolactinomas are benign tumors that produce an excessive amount of the hormone prolactin, which can lead to various symptoms. Amenorrhea and galactorrhea are common symptoms associated with elevated prolactin levels. The headaches and visual field defects could be due to the tumor's size and location, as it may compress the optic nerves and surrounding structures.

A proper diagnosis should be made by a healthcare professional, who may use blood tests to check prolactin levels and imaging studies, such as MRI, to visualize the pituitary gland. Treatment options for prolactinomas typically include medication to lower prolactin levels, such as dopamine agonists, or surgical intervention in case of larger tumors or unresponsiveness to medication.

It is crucial for the patient to consult with a healthcare provider for a comprehensive evaluation, accurate diagnosis, and appropriate management of her condition.

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The diagnosis of Seizure Summary (Syncope/LOC DDX) involves differentiating between syncope and loss of consciousness (LOC) to identify the underlying cause.

In order to diagnose a seizure summary, a physician will need to differentiate between syncope (fainting) and loss of consciousness (LOC). Syncope is a sudden, temporary loss of consciousness, usually due to insufficient blood flow to the brain. LOC, on the other hand, can have various causes, such as seizures, head injuries, or other medical conditions.

Step 1: Take a detailed patient history, focusing on the events leading up to the episode, the duration of the episode, and any associated symptoms.

Step 2: Perform a physical examination, checking for any signs of injury or other underlying medical conditions.

Step 3: Order necessary diagnostic tests, such as an electrocardiogram (ECG), blood tests, or imaging studies, to help determine the cause of the episode.

Step 4: Analyze the results of the tests, along with the patient's history and physical examination findings, to make a diagnosis.

Step 5: Based on the diagnosis, develop a treatment plan tailored to the patient's specific needs.

In summary, diagnosing a seizure summary (Syncope/LOC DDX) involves differentiating between syncope and LOC, collecting patient history, performing a physical examination, ordering diagnostic tests, and analyzing the results to determine the underlying cause and appropriate treatment plan.

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The finding that should be reported to the healthcare provider in this scenario is "Falls forward when sitting". Option C is Correct.

This may indicate a delay in the infant's gross motor development and require further evaluation or intervention. The other findings are age-appropriate and expected for an 8-month-old infant healthcare provider during a developmental assessment.

If the chosen assessment method or criteria doesn't fit the knowledge domain, one might determine if it wasn't developmentally appropriate for one of the pupils.

It should be emphasised that the methods used to gauge a student's aptitude are simply referred to as assessment tools.

In this instance, if the chosen assessment tool or criteria doesn't fit the knowledge domain, one can determine if it wasn't developmentally appropriate for one of the pupils.

Meeting the student's strengths and encouraging progress are the things that can be done about it.

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Diagnosis for a 35-year-old male presenting with burning epigastric pain that starts 2-3 hours after a meal and is relieved by food and antacids is gastroesophageal reflux disease (GERD).

GERD is a condition in which stomach acid backs up into the esophagus, causing irritation and discomfort.

The burning sensation in the epigastric region is a common symptom of GERD, and the fact that the pain is relieved by food and antacids suggests that it is related to excessive acid production in the stomach.

Hence, a 35-year-old male with burning epigastric pain that starts 2-3 hours after a meal and is relieved by food and antacids is likely suffering from GERD.

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