Gastric disorders Flashcards
1
Q
Dyspepsia- Eti
A
- 15% adult population
- 3% office visits
- Functional dyspepsia is most common
- Ulcers in 5%
2
Q
Dyspepsia- Sx
A
- Epigastric pain/ burning
- Postprandial fullness
- Hx- chronic, location, qualatiy
- N/V
3
Q
Dyspepsia- Dx
A
- Endoscopy
- Test for H pylori
- Imaging if complicated
4
Q
Dyspepsia- Tx
A
- PPI
- Reduce offending foods/ medications
5
Q
Zollinger-Ellison syndrome- Eti
A
- Gastrin- secreting neuroendocrine tumors (gastrinoma)
- Hypergastrinemia & acid hyper secretion
- Arise in pancreas duodenal wall, lymph or other locations
6
Q
Zollinger-Ellison syndrome- Sx
A
- Soliatry peptic ulcer in proximal duodenal bulb
- GE reflux symptoms
- Diarrhea, steatorrhea, wt loss
- Metastases to liver
7
Q
Zollinger-Ellison syndrome- Dx
A
- Somatostatin receptor scintigraphy
- Endoscopic ultrasonography
- Secretin stimulation
8
Q
Zollinger-Ellison syndrome- Tx
A
- PPI
- Surgical removal of gastrinoma
9
Q
Peptic ulcer disease- Risks
A
- NSAIDs (steroids)
- H. pylori
- genetics
- Renal failure, cirrhosis, & COPD
10
Q
Peptic ulcer disease- Eti
A
5-10% population
- Increase with age
- 45% NSAIDs
- 45% H. pylori
- M>W
- Smokers
- 500,000 new cases/ year
11
Q
Peptic ulcer disease- Sx
A
- Sharp burning in upper quadrants, epigastric
- Nausea
- Hunger or fullness
- Gastric- worse after eating
- Duodenal- 2-3 hrs after eating, awaken from sleep
12
Q
H. pylori- Risks
A
- Developed countries
- low socioeconomic
- Acquired in first 10 yrs
- Infected parents
13
Q
Diabetic gastroparesis- Eti
A
- Gastric obstruction due to endocrine dysfunction
14
Q
Diabetic gastroparesis- Sx
A
- Chronic or intermittent gastroparesis
- Early satiety, bloating, N/V 1-3 hrs after meals
15
Q
Diabetic gastroparesis- Dx
A
- Exclude mechanical obstruction
- Abd xray: dilation of stomach investing or colon resembling mechanical obstruction
