chapter 40 part 2 Flashcards

1
Q

peptic ulcer disease may be referred to as a

A

gastric ulcer
duodenal ulcer
esophageal ulcer

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2
Q

excavation (hollowed-out area) that forms in the mucosa of the stomach, in the pylorus, duodenum, or in esophagus

A

peptic ulcer disease

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3
Q

peptic ulcer more likely to occur in the _____ than in the stomach

A

duodenum

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4
Q

occur as a result of the BACKWARD FLOW of HCl from the stomach into the esophagus

A

ESOPHAGUS ULCER

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5
Q

Most peptic ulcers result from infection with _______

A

H. pylori

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6
Q

major risk factor for peptic ulcers

A

nsaids

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7
Q

what blood type is the more susceptible to the development of peptic ulcers

A

type O

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8
Q

the opening between the stomach and duodenum

A

pylorus

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9
Q

the first portion of the small intestine, between the stomach and the jejunum

A

duodenum

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10
Q

thin membrane that ‘lines the inside of the wall of the abdomen’

A

peritoneum

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11
Q

a rare condition in which ‘benign or malignant tumors form in the pancreas and duodenum’ that secrete excessive amounts of the hormone gastrin

A

zollinger-ellison syndrome

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12
Q

acute mucosal ‘ulceration of the duodenal or gastric area that occurs after physiologically stressful events’, such as burns, shock, sepsis, and multiple organ dysfunction syndrome

A

stress ulcer

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13
Q

specific TYPES of ulcers that result from STRESSFUL conditions include:

A

curling ulcer
cushing ulcer

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14
Q

a type of stress ulcer: observed after extensive BURN INJURIES and often involves the antrum of the stomach or the duodenum

A

curling ulcer

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15
Q

a type of stress ulcer: common in patients with a traumatic head injury, stroke, brain tumor, or following intracranial surgery; caused by ↑ICP

A

cushing ulcer

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16
Q

in peptic ulcer, pain occurs immediately after eating, what is the estimated hours?

A

(2-3 hours)

17
Q

common when the patient’s stomach is empty

A

sour eructation/burping

18
Q

allows direct visualization of inflammatory changes, ulcers, and lesions

preferred diagnostic for peptic ulcer

A

upper endoscopy

19
Q

used to determine the extent of blood loss

A

CBC

20
Q

lack of HCl

A

achloryhdria

21
Q

low levels of HCl

A

hypochlorhydria

22
Q

high levels of HCl

A

hyperchlorhydria

23
Q

recommended days for combination drug therapy

A

10 to 14 days

24
Q

what foods to be avoid in peptic ulcer

A

foods in high temp
alcohol
coffee

25
Q

the two most common causes of upper GI tract bleeding

A

gastritis
hemorrhage

26
Q

EROSION OF THE ULCER through the gastric serosa INTO THE PERITONEAL CAVITY without warning; abdominal emergency

A

PERFORATION

27
Q

EROSION OF THE ULCER through the gastric serosa INTO ADJACENT STRUCTURES such as the pancreas, biliary tract, or gastrohepatic omentum

A

PENETRATION

28
Q

occurs when the area distal to the ‘pyloric sphincter becomes scarred and stenose’

A

GASTRIC OUTLET OBSTRUCTION

29
Q
A