Gastritis

Question 1

Acute gastritis

Answer 1

Disruption of mucosal barrier
Inflammation

Caused by stress, NSAID (low PGE), alcohol, uremia burn or brain injury

Common in pts taking daily NSAIDS (RA pts)

Question 2

Curling’s ulcer

Answer 2

Acute gastritis

Due to burn, low plasma volume
sloughing off of gastric mucosa

Question 3

Cushing’s ulcer

Answer 3

Acute gastritis

High vagal stimulation, high ACH, H+ production

Question 4

Chronic gastritis
(non erosive)
Type A

Answer 4

Type A (fundus/body)
Autoimmune with autoantibodies to parietal cells
Pernicious anemia
Achlorhydria

Question 5

Chronic gastritis
(non erosive)
Type B

Answer 5

Type B (antrum)
Most common type
Caused by H pylori
Increased risk of MALT lymphoma

Question 6

Chronic gastritis mneumonics

Answer 6

Think ABBA

Anemia (type A) affects Body
Bacteria (type B) affects Antrum

Question 7

Menetrier’s disease

Answer 7

Gastric hypertrophy with
Protein loss
Parietal cell atrophy
Increased mucous cells

Precancerous

Rugae so hypertrophied looks like brain gyri