Gastritis Flashcards
1
Q
What is gastritis?
A
Inflammation of gastric mucosa
2
Q
What is a typical cellular infiltrate in acute inflammation?
A
Neutrophils
3
Q
What is a typical cellular infiltrate in chronic inflammation?
A
Mononuclear cells: lymphocytes, macrophages and plasma cells
4
Q
Aetiology of gastritis?
A
Commonest cause is helicobacter pylori infection
Other causes: Autoimmune gastritis (antibodies to gastric parietal cells and intrinsic factor) Viruses Duodeno- gastric reflux/ hiatus hernia NSAIDs Alcohol
5
Q
Clinical presentation of gastritis?
A
Asymptomatic OR:
Epigastric pain
Vomitting
Haematemesis
6
Q
Diagnosis of gastritis?
A
Histological diagnosis:
usually an incidental finding when a gastric mucosal biopsy is taken for histology at endoscopy
At endoscopy mucosa is reddened
7
Q
Treatment for gastritis?
A
Ranitidine or PPI
H pylori eradication if needed
Bismuth subcitrate often needed