Gastritis Flashcards
1
Q
What are the 3 types of Gastritis? (A, B and C)
A
A - Autoimmune
B - Bacterial
C - Chemical
2
Q
What is gastritis?
A
Inflammation of gastric mucosa
3
Q
What cells are targeted by autoimmune gastritis?
A
Parietal cells
4
Q
What bacteria can cause bacterial gastritis?
A
H Pylori
5
Q
What causes chemical gastritis?
A
Bile
NSAIDs
6
Q
What are ALARM symptoms?
A
A - Anorexia L - Loss of weight A - Anaemia R - Recent onset M - Meleana or haematemesis
THESE APPLY TO ALL THE DIFFERENTIALS OF DYSPEPSIA
7
Q
Investigations?
A
History + exam
Endoscopy (follow protocol)
FBC
CRP
Coeliac serology (IgA)
Ferritin levels (alarm features)
8
Q
What is the protocol for endoscopy with Gastritis?
A
Any ALARM symptoms
> 55yrs
9
Q
Treatment?
A
Follow dyspepsia protocol
- New dyspepsia = simple antacids
- Symptoms persist = H.Pylori test (urea breath test)
- H. Pylori negative = PPI (omeprazole
- H. Pylori positive = H.Pylori eradication therapy
Review at 4 weeks
- If symptoms persist for H. Pylori negative then do eradication therapy
10
Q
What is H. Pylori eradication?
A
Triple therapy
- PPI
- Amoxicillin
- Clarithromycin
11
Q
Complications of gastritis?
A
Can lead to ulcers
