Duodenal ulcer Flashcards
1
Q
Predisposing factors
A
H.Pylori NSAIDs including aspirin Smoking Gastrinoma (Zollinger-Ellison) Stress Radiation Crohn Cocain Gastroduodenal dysmotility
2
Q
Onset
A
Acute Tachycardia, followed by - Fever - Tachypnea Hypotension is a late finding
3
Q
X Ray
A
CAVE : Pneumoperitoneum can be absent in 10-15% of cases
4
Q
Pre-Operative
A
Broad spectrum antibiotic
- Add antifungal in frail patients
5
Q
Operative treatment
A
Wash with 5-10 Liters
Omental platch closure (+/-) closure if it holds
Send aspiration for sensitivity and Fungal analysis
+/- drain
