Epigastric Pain Flashcards
1
Q
Tenderness meaning
A
increased pain on palpation or
pressure in the epigastric area.
2
Q
Patients hospitalized with epigastric
pain are far more likely to have
A
ulcers, biliary disease, pancreatic disease, cancer, and gastritis with bleeding
3
Q
most common cause of epigastric pain
A
Non-ulcer dyspepsia 50% to 90% of all cases.
>f en <50a
4
Q
What Is the Most Likely Diagnosis?” about Epigastric Pain+ worse with food better with food Weight loss
A
worse with food-Gastric ulcer
better with food- Duodenal ulcer
Weight loss- Cancer, gastric ulcer
5
Q
What Is the Most Likely Diagnosis?” about Epigastric Pain+ Tenderness Bad taste, cough, hoarse Diabetes, bloating Nothing
A
Tenderness- Pancreatitis
Bad taste, cough, hoarse- Gastroesophageal reflux
Diabetes, bloating- Gastroparesis
Nothing- Non-ulcer dyspepsia
6
Q
Epig Pain Dx Diff Test
A
Endoscopy
7
Q
Epig Pain Tx
A
Proton pump inhibitors (PPIs).
H2 blockers, less effective. 70%, such as Liquid antacids
NEVER misoprostol.
