By rray, 23 December, 2014 Exclude Patient Type Detail Header No Detail Type Text Detail Text Concomitant evaluation by ENT, pulmonary, and allergy specialists<sup>9</sup> [S/L] If refractory GERD after these evals negative: ambulatory reflux<sup>8,11</sup> monitoring [S/L] For typical GERD sx nonresponsive to PPI: endoscopy<sup>9</sup> to exclude non-GERD etiologies [C/L]