Gastroenterology 13 - Peptic Ulcers Flashcards
1
Q
2 types of peptic ulcer
A
gastric - worse with food
duodenal - better with food
2
Q
2 reasons for peptic ulcers
A
increased acid
reduced barrier
3
Q
3 things that can weaken stomach mucosa
A
steroids
NSAIDs
H pylori
4
Q
5 general risk factors for increased acid and thus ulcer
A
stress alcohol caffeine smoking spicy food
5
Q
5 aspects of peptic ulcer presentation
A
epigastric pain nausea, vomiting dyspepsia haematemesis, coffee ground vomiting, melaena iron deficiency anaemia
6
Q
management of peptic ulcers
A
as with GORD once malignancy excluded during endoscopy
7
Q
3 complications of peptic ulcers
A
bleeding
perforation + acute abdo
scarring + strictures (then pyloric stenosis)
