43. dyspepsie

Question 1

definition (3)

Answer 1

Postprandial fullness

early satiation

epigastric pain

Question 2

ddx (11)

Answer 2

PUD - 25% ulcères

GERD

GI Malignancy

Drug-induced dyspepsia (NSAIDs and COX-2 inhibitors)

Other: Celiac, chronic pancreatitis, gastritis, Crohn’s, cardiac

Functional/IBS (no organic cause) - 60% (colon irritable)

cholecystite

Question 3

fx qui précipitent 5

Answer 3

NSAID/ASA, smoking, alcohol, high fat meals

Question 4

caractéristiques ulcères

Answer 4

Upper abdominal pain prominent
back pain atypical

Gastric worse with food (within 30min) , Duodenal better with food (initially) and worse with food 2-3 h later

Postprandial belching, epigastric fullness, early satiation, N/V

Question 5

gastric vs duodenal ulcer

Answer 5

Gastric worse with food (within 30min)

Duodenal better with food (initially) and worse with food 2-3 h later

Question 6

reflux sx

Answer 6

Retrosternal pain/regurgitation

Question 7

GI malignancy sx

Answer 7

Age

Dysphagia, odynophagia

Systemic signs (anemia, fatigue, weight loss)

Question 8

red flags VWBAAAD +1

Answer 8

Vomiting

Weight Loss (Involuntary)

Blood loss (melena, hematemesis, anemia)

Age >50

Anemia

Abdominal mass or lymphadenopathy

Dysphagia, odynophagia, early satiety

Family history of upper GI cancer