Dyspepsia and PUD Flashcards
3 features of dyspepsia
intermittent
epigastric
after meals
Common causes of dyspepsia
- Peptic ulcer
- esophagitis
- drugs
Uncommon causes of dyspepsia
- cancer (stomach, pancreas,liver)
- Angina
- Crohn’s disease/obstruction
Rare causes of dyspepsia
Giardia
celiac sprue, malabsorption
pancreatitis
4 key questions to ask
- Age
- Associated symtoms
- Drugs
- Heartburn/acid regurg
Blood work up for Dyspepsia
- Calcium
- protein electrophoresis
- TSH
- Amylase
- H. Pylori serology
Investigation that is important in dyspepsia includes
Gastroscopy and
abdo Ultrasound
PUD presents as
dyspepsia and bleeding
what do you do with a peptic ulcer?
BIOPSY to rule out cancer
3 causes of peptic ulcer disease
- H pylori
- NSAID’s
- Zollinger ellison, ischemia, infection
Frequency of H. pylori increases with
Crowding and poverty NOT AGE
how do you PREVENT and heal peptic ulcers
Take gastric acid suppressant - PPIs
histological diagnosis - NO Pain
Gastritis
Most COMMON cause of dyspepsia
Functional dyspepsia
how do you diagnose a peptic ulcer
Gastroscopy