Gastritis

Question 1

What is gastritis

Answer 1

Sudden onset Inflammation of the stomachs mucosal lining
Which can progress to erosive gastritis and ulcers

Question 2

What are the Risk factors for gastritis?

Answer 2

A-E
Autoimmune
Bacterial -H pylori, shigella, salmonella, e.coli,c.diff / Bile reflux
Chemical - Nsaids
Drugs- Alchohol

Question 3

Gastritis clinical presentation

Answer 3

Epigastric pain w/diarrheea
Nausea and vomiting
Dyspepsia - indigestion

Question 4

IVx gastritis

Answer 4

FBC: leucocytosis suggests bacterial infection, raised eosinophils in parasitic infection
U+Es: electrolyte imbalance if severe diarrhoea and/or vomiting
Stool culture: for e.coli, salmonella, shigella, campylobacter, yersinia
Clostridium difficile toxin: if recent antibiotic use or hospital stay
urease breath test - h pylori

Question 5

tx Gastritis

Answer 5

Mild-moderate gastroenteritis:

Bland diet: bread, crackers
Oral rehydration: water, electrolyte replacement solutions e.g. Dioralyte

Severe gastroenteritis:
IV fluids: normal saline
Antibiotic therapy

Question 6

Gastritis differentials

Answer 6

GORD
Gastric carcinoma
Peptic ulcer

Question 7

What is Zenker’s Diverticulum

Answer 7

Pharyngeal Outpouching - food goes down pouch instead of oesophagus causing smelly breath and regurgitation