martin-benson - Royal Marsden Hospital
martin-benson - Royal Marsden Hospital
martin-benson - Royal Marsden Hospital
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
The <strong>Royal</strong> <strong>Marsden</strong>Dyspepsia - Discriminatory value ofsymptoms• Suspicion of organic disease increased by presence of certainsymptoms* GORD:Heartburn, positional component, relief with antacids(Horrocks and deDombal ‘78)• Unaided clinical diagnosis (in absence of alarm symptoms):limited value• * 50% active PUD missed by clinical diagnosis• * 33% organic causes incorrectly diagnosed as functional(Byzer ‘91)