9: Peds Peptic Ulcer Disease

Question 1

In which groups are PUD most common?

Answer 1

• Boys
• Children 12-18 yo

Question 2

Which ulcers are secondary?

Answer 2

Gastric

Question 3

Which ulcers are primary?

Answer 3

Duodenal

Question 4

T/F There is a familial predisposition in PUD.

Answer 4

True

Question 5

6 S/S of PUD.

Answer 5

1. Symptoms wax and wane
2. Epigastric abd pain
3. Awakens from sleep
4. Pain with eating
5. Vomiting/hematemesis
6. Bloody stools

Question 6

Treatment for PUD.

Answer 6

• Antacids
• GER meds
• H. pylori:
  
  • Triple therapy
  • Quadruple therapy
  • Sequential therapy
  • Based on local resistance, current guidelines, and pt tolerance to meds

Question 7

Peptic ulcer disease (PUD) is associated with what 2 infections?

Answer 7

1. H. pylori
2. CMV