Dyspepsia and PUD Flashcards

1
Q

3 features of dyspepsia

A

intermittent
epigastric
after meals

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2
Q

Common causes of dyspepsia

A
  • Peptic ulcer
  • esophagitis
  • drugs
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3
Q

Uncommon causes of dyspepsia

A
  • cancer (stomach, pancreas,liver)
  • Angina
  • Crohn’s disease/obstruction
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4
Q

Rare causes of dyspepsia

A

Giardia
celiac sprue, malabsorption
pancreatitis

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5
Q

4 key questions to ask

A
  • Age
  • Associated symtoms
  • Drugs
  • Heartburn/acid regurg
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6
Q

Blood work up for Dyspepsia

A
  • Calcium
  • protein electrophoresis
  • TSH
  • Amylase
  • H. Pylori serology
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7
Q

Investigation that is important in dyspepsia includes

A

Gastroscopy and

abdo Ultrasound

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8
Q

PUD presents as

A

dyspepsia and bleeding

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9
Q

what do you do with a peptic ulcer?

A

BIOPSY to rule out cancer

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10
Q

3 causes of peptic ulcer disease

A
  1. H pylori
  2. NSAID’s
  3. Zollinger ellison, ischemia, infection
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11
Q

Frequency of H. pylori increases with

A

Crowding and poverty NOT AGE

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12
Q

how do you PREVENT and heal peptic ulcers

A

Take gastric acid suppressant - PPIs

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13
Q

histological diagnosis - NO Pain

A

Gastritis

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14
Q

Most COMMON cause of dyspepsia

A

Functional dyspepsia

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15
Q

how do you diagnose a peptic ulcer

A

Gastroscopy

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16
Q

hELICObacter infection is similar to

A

TB - many infected, few with disease

17
Q

Dyspepsia is NOT a reliable indicator of an

A

Ulcer, esp NSAID ulcers