dyspepsia and peptic ulcer Flashcards

1
Q

def. dyspepsia

A

indigestions

  • intermittent
  • epigastrum
  • postprandial
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2
Q

possible causes of dyspepsia (5)

A
  1. stomach ulcer - most common
  2. liver disease
  3. angina
  4. pancreas
  5. bowel obstruction
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3
Q

3 uncommon causes not to be missed

A
  1. stomach CA
  2. angina
  3. chrons
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4
Q

3 requirements to est. diagnosis of dyspepsia

A
  1. Hx
  2. physical
  3. investigations
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5
Q

2 important pain questions to ask

A
  1. provocation

2. palliation

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6
Q

** what is only question that is correlated with a disease

A

heartburn and acid regurgitation

- indicates reflux

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7
Q

4 key quesiotns to ask

A
  1. associated Sx
  2. age
  3. drugs
  4. heartburn + acid regurg
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8
Q

what to focus on on physcial

A

lymph nodes - can’t image

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9
Q

3 tests may want to do

A
  1. bloods
  2. gastroscope
  3. abdo US/CT
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10
Q

3 bloods for normal workup

A
  1. CBC
  2. creat/glucose
  3. liver
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11
Q

5 extra for stellar workup

A
  1. Ca - hyperpara
  2. protein electro
  3. TSH
  4. amylase
  5. helicobacter
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12
Q

def. of ulcer

A

mucosal hole

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13
Q

present of ulcer

A

dyspep/bleeding

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14
Q

diagnosis of ulcer

A

gastroscope

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15
Q

complications of ulcer 3

A
  1. bleeds
  2. obstruction
  3. perf
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16
Q

3 causes of ulcer

A
  1. h pylori
  2. NSAIDs
  3. rare others
17
Q

location of pylori infecitons

A

gastric mucosa only

18
Q

main risk for pylori

A

living in poor and crowded condtions

- get in childhood

19
Q

what other infection causes similar Sx

A

TB

20
Q

3 consequences of NSAIDs

A
  1. petechiae
  2. erosions
  3. ulcer
21
Q

what are warning signs of NSAID complicaitons

A

there are none!

22
Q

what to do to help with NSAIDs

A

gastric acid supressant - needs to be continued

23
Q

2 types of gastritis

A

erosive - bleeds

non-erosive - no Sx

24
Q

most common cause of dyspepsia

A

functional

25
Q

5 patients on NSAIDS who benefit the most from PPIs

A
  1. previous ucer
  2. > 60
  3. concom. disease
  4. high dose NSAID
  5. concomitant steroids or warfarin