Factor that might impact the pathophysiology of GERD. Factor that might impact the pathophysiology of GERD. To Prepare · Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production. · Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease … Continue reading Factor that might impact the pathophysiology of GERD.