Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SA Gastroenterology > Gastritis > Flashcards

Gastritis Flashcards

1
Q

What are the causes of acute gastritis?

A

Mucosal damage results in increased permeability
Acid diffuses back into the mucosa to cause gastritis
Epithelial cells necrose and cause erosions (hematemesis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the clinical signs of acute gastritis?

A 
Vomiting
Lethargy
Depression
Polydipsia
Hematemesis
Cranial abdominal pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are differential diagnoses for acute gastritis?

A

Foreign body (obstruction)
Acute pancreatitis
Infectious disease
Systemic disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do you diagnose acute gastritis?

A

History and PE
Abdominal radiographs
Biochemical tests
Response to therapy

Need to exclude other diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do you treat acute gastritis?

A

Rest GI
Supportive care
Feed a bland diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is most effective for acute self-limiting vomiting?

A

Brief fasting (12-24 hours)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What causes chronic gastritis?

A

Inflammatory (Lymphoplasmacytic or eosiniphilic)

Food responsive disease

Reflux (Bilious vomiting syndrome)

Helicobacter?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the clinical signs of chronic gastritis?

A

Vomiting
Hematemesis
Appetite changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do you treat chronic gastritis?

A

Mild disease: diet trials (hypoallergenic), acid reducer (omeprazole), prokinetic (cisapride/metaclopramide)

Moderate to severe disease: prednisone, azathioprine, chlorambucil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do you diagnose chronic gastritis?

A

Exclude other causes (parasites, tumors, FRD)

Biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is helicobacter gastritis?

A

Causes lymphoid hyperplasia

May be associated with chronic vomiting

Diagnose with Warthin-Starry (silver) stain on biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What causes gastric ulcers?

A 
Ulcerogenic drugs (steroids, NSAIDs)
Liver disease
Tumors
Protein-calorie malnutirtion
Uremia
Stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is reflux gastritis/bilious vomiting syndrome?

A

Defect in pyloric function or gastric motility allows prolonged contact of bile with mucosa -> damage

Vomit bile-stained mucus/fresh blood in early morning

Treatment- increase feeding frequency + prokinetic, H2 receptor antagonist, H+ pump inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do you treat gastric ulcers?

A 
Eliminate underlying cause
PPI's (omeprazole)
Sucralfate
Blood transfusion
Endoscopy
Surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What causes gastric outlet obstruction?

A

GDV
Foreign bodies
Congenital stenosis (pyloric hypertrophy)
Acquired stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the clinical signs of gastric outlet obstruction?

A

Intermittent vomiting (months to years, progressive)

HypoCl, hypoK, metabolic alkalosis

17
Q

How do you diagnose gastric outlet obstruction?

A

Radiographs (+ contrast)
U/S
Endoscopy
Surgery

18
Q

How do you treat gastric outlet obstruction?

A

Surgery-
Pyloroplasty
Pyloromyotomy

SA Gastroenterology (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions