Chapter 39: UGI Bleed- PUD

Question 1

What is it?

Answer 1

Gastric and duodenal ulcers

Question 2

What is the incidence in the United States?

Answer 2

≈10% of the population will suffer from PUD during their lifetime!

Question 3

What are the possible consequences of PUD?

Answer 3

1. Pain
2. hemorrhage
3. perforation
4. obstruction

Question 4

What percentage of patients with PUD develops bleeding from the
ulcer?

Answer 4

≈20%

Question 5

Which bacteria are associated with PUD?

Answer 5

Helicobacter pylori

Question 6

What is the treatment for H. pylori?

Answer 6

Treat H. pylori with MOC or ACO 2-week antibiotic regimens:

• MOC: Metronidazole, Omeprazole, Clarithromycin (Think: MOCk)

or

• ACO: Ampicillin, Clarithromycin, Omeprazole

Question 7

What is the name of the sign with RLQ pain/peritonitis as a result of
succus collecting from a perforated peptic ulcer?

Answer 7

Valentino’s sign