Dyspepsia Flashcards

1
Q

What is dyspepsia?

A

Upper abdominal pain or discomfort that may encompass:

bloating
nausea and vomiting
early satiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some common causes of dyspepsia?

A
oesophagitis 10-17%
    duodenal ulcer 10-15%
    gastric ulcer 5-10%
    gastritis, duodenitis, and hiatus hernia 30%
    non-ulcer dypepsia 30-50%
    gastric cancer 2%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some differential diagnoses of dyspepsia?

A
  1. PUD
  2. GORD
  3. Cancer of stomach/pancreas
  4. Gallstones
  5. Acute/chronic pancreatitis
  6. Drug induced gastritis e.g. aspirin/iron preparations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the main clinical features of dyspepsia?

A
upper abdominal pain or discomfort
    early satiety
    abdominal bloating
    nausea and vomiting
    heartburn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In dyspepsia you must first review the patient’s drug history. Which drugs may cause dyspepsia?

A
  1. NSAIDs
  2. Bisphosphonates
  3. Corticosteroids
  4. Calcium channel antagonists
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which clinical features warrant a 2 week wait referral for suspected oesophageal carcinoma?

A
  • with dysphagia or
  • aged 55 and over with weight loss and any of the following:
    upper abdominal pain
    reflux
    dyspepsia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which clinical features warrant a 2 week wait referral for suspected stomach carcinoma?

A
  • Upper abdominal mass
  • or with dysphagia or
  • aged 55 and over with weight loss and any of the following:
    upper abdominal pain
    reflux
    dyspepsia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What interventions are used in uninvestigated dyspepsia?

A
  • PPI or testing for a treating H. pylori

NB/ a 2- week washout period following PPI use is necessary before testing for H. pylori with a breath test or a stool antigen test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly