dyspepsia and peptic ulcer Flashcards
def. dyspepsia
indigestions
- intermittent
- epigastrum
- postprandial
possible causes of dyspepsia (5)
- stomach ulcer - most common
- liver disease
- angina
- pancreas
- bowel obstruction
3 uncommon causes not to be missed
- stomach CA
- angina
- chrons
3 requirements to est. diagnosis of dyspepsia
- Hx
- physical
- investigations
2 important pain questions to ask
- provocation
2. palliation
** what is only question that is correlated with a disease
heartburn and acid regurgitation
- indicates reflux
4 key quesiotns to ask
- associated Sx
- age
- drugs
- heartburn + acid regurg
what to focus on on physcial
lymph nodes - can’t image
3 tests may want to do
- bloods
- gastroscope
- abdo US/CT
3 bloods for normal workup
- CBC
- creat/glucose
- liver
5 extra for stellar workup
- Ca - hyperpara
- protein electro
- TSH
- amylase
- helicobacter
def. of ulcer
mucosal hole
present of ulcer
dyspep/bleeding
diagnosis of ulcer
gastroscope
complications of ulcer 3
- bleeds
- obstruction
- perf
3 causes of ulcer
- h pylori
- NSAIDs
- rare others
location of pylori infecitons
gastric mucosa only
main risk for pylori
living in poor and crowded condtions
- get in childhood
what other infection causes similar Sx
TB
3 consequences of NSAIDs
- petechiae
- erosions
- ulcer
what are warning signs of NSAID complicaitons
there are none!
what to do to help with NSAIDs
gastric acid supressant - needs to be continued
2 types of gastritis
erosive - bleeds
non-erosive - no Sx
most common cause of dyspepsia
functional
5 patients on NSAIDS who benefit the most from PPIs
- previous ucer
- > 60
- concom. disease
- high dose NSAID
- concomitant steroids or warfarin
