Gastric ulceration

Question 1

Physiology 5

Answer 1

infection, targets GIT usings ulcers

breakages of epethelial lining

occur when gastric juice and pepsin make contact with layer

May occur in deudenal or as gastric ulcer

Duodenum - H pylori infection

Question 2

Risk and symptoms 4

Answer 2

HPBI found in 90% of all cases

smoking, inc age previous history, intensive care

chronic pain in the upper abdomen, chronic consumption of NSIADs

epigastric tenderness and gastric issue

Question 3

Diagnosis 3

Answer 3

UGI endoscopy - detects intestinal bleeding and ulcers

urea breath test - HBPI

urine tests - NSIAD consumption

Question 4

Prognosis and treatment

Answer 4

4-8w

Discontinue NSIAD’s reduces occurence

actively bleeding ulcer - urgent blood transfusion

Endoscopy to monitor

Active bleeding HP infection therapy

Prevent - no NSIAD aspirin, substitute with paracetemol