Clara is a 35-year-old female who has a five-week history of epigastric pain that is worse after she eats. The pain is minimally relieved by Mylanta or burping. She has come to your office for evaluation and your initial impression is gastritis. What is your recommendation and treatment plan? What clinical guidelines support your decision and why? 

Lilly is a 6-year-old girl who presents with a 2-week history of worsening redness, dryness, and rash to the volar aspects of the wrists and dorsum of the hands. The area is moderately pruritic. On assessment, you note her rash is consistent with mild eczema. You would like to prescribe a topical corticosteroid.

What potency should be considered for this patient? Include the frequency of application and length of recommended treatment. What can be done about her pruritus? Are there any OTC ointments that should be considered for this patient? Include medication and general patient education in your discussion.

Marty is a 66-year-old male chef who has been experiencing severe reflux symptoms for the past several weeks that seem to be worsening at night. He had similar symptoms two to three years ago that went away when he stopped drinking alcohol. He claims to remain abstinent, but his symptoms have returned.

What additional information should you obtain? What medications should you consider for his symptoms? Discuss your assessment and plan of care including clinical guidelines that support your decision.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. In your peer replies, please reply to at least one peer who chose a different topic.