Gastritis Flashcards

1
Q

def

A

inflammation of gastric mucosa

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2
Q

aetiology

A
1 H. pylori
2 alcohol
3 NSAIDs
4 previous gastric surgery
5 autoimmune disease
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3
Q

history + examination

A

1 epigastric pain
2 vomiting
3 haematemesis

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4
Q

investigations

A

1 h. pylori urea breath test
2 h. pylori feacal antigen test
3 endoscopy + biopsy

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5
Q

management

A
1 advice
-stop alcohol + NSAIDs
2 medical
-ranitidine/PPI
-triple therapy for H. pylori
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6
Q

what is ranitidine

A

a H2 antagonist

reduces acid in stomach

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7
Q

what is cyanocobalamin and who should it be given to

A

Vit B12

given to patients with autoimmune gastritis

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8
Q

complications

A

1 PUD
2 achlorhydria + Vit B12 deficiency
3 malignancy

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9
Q

what is achlorhydria

A

absence of hydrochloric acid in gastric acid secretions

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10
Q

prognosis

A

dependent on cause
1 erosive gastritis improves with cessation of NSAIDs/alcohol
2 h.pylori infection has good progosis with triple therapy

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