Dyspepsia Flashcards
1
Q
definition of dyspepsia
A
epigastric pain or burning, postprandial fullness, early satiety
2
Q
organic causes of dyspepsia
A
(25%)
- peptic ulcer disease
- drugs (esp NSAIDs, COX2 inhibitors)
- gastric cancer
3
Q
functional causes of dyspepsia
A
(75%)
- idiopathic
- associated with other functional gut disorders
4
Q
management of dyspepsia
A
- check h. pylori status
- treat with acid inhibition
5
Q
diagnostic criteria for functional dyspepsia?
A
- bothersome postprandial fullness
- early satiation
- epigastric pain
- epigastric burning
- no evidence of structural disease that is likely to explain symptoms
6
Q
name a few causes of peptic ulcer disease
A
- H. Pylori
- NSAIDs
7
Q
diagnostic tests for H. Pylori infection
A
- gastric biopsy (urease test, histology, culture)
- urease breath test
- FAT (faecal antigen test)
- serology (IgA antibodies)
8
Q
treatment of PUD
A
- ALL anti-secretory therapy (PPI)
- withdraw NSAIDs
9
Q
eradication therapy of H. Pylori infection
A
triple therapy for 1 week
- PPI + amoxicillin 1g bd + clarithromycin 500mg bd
- PPI + metronidazole 400mg bd + clarithromycin 250mg bd
10
Q
name some complications of peptic ulcer disease
A
- anaemia
- bleeding
- perforation
- gastric outlet/duodenal obstruction
11
Q
post-therapy follow up for Gastric Ulcer?
A
endoscopy at 6-8 weeks
