GORD/ PU Flashcards

1
Q

At what age does infant reflux tend to improve?

A

Soon after solids introduced to diet (approx 6 months) and most cases will clear up by 9-10 months when the baby is sitting. Severe cases can persist to 18 months

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2
Q

At what age does infant reflux tend to improve?

A

Soon after solids introduced to diet (approx 6 months) and most cases will clear up by 9-10 months when the baby is sitting

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3
Q

What are red flags for upper GIT endoscopy?

A

new onset anaemia, dysphagia, odynophagia, haematememsis or melaena, unexplained weight loss >10%, vomiting, age >50, chronic NSAID use, severe symptoms, family history of upper GIT or coorectal cancer, short history of symptoms

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4
Q

What are red flags for upper GIT endoscopy?

A

new onset anaemia, dysphagia, odynophagia, haematememsis or melaena, unexplained weight loss >10%, vomiting, age >50, chronic NSAID use, severe symptoms, family history of upper GIT or colorectal cancer, short history of symptoms

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5
Q

What are clinical features of GORD in adults?

A

nausea, bloating and belching, heartburn, acid regurgitation especially on lying down, waterbrash, nocturnal cough

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6
Q

What are some potential complications of GORD?

A

oesophagitis, iron deficiency anaemia, stricture, chronic cough, asthma, hoarseness, barett’s oesophagus

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7
Q

What lifestyle interventions can improve symptoms of GORD?

A
weight reductions if overweight
reduction or cessation of smoking
reduction or cessation of alcohol
reduction or cessation of coffee, tea and chocolate
avoid gaseous drinks
leave at least 3 hours between dinner and bed
increase fibre intake
avoid fatty foods
small regular meals and snacks
eat slowly and chew food well
sleep on the left side
avoid spicy foods and tomato products
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8
Q

What are risk factors for peptic ulcer disease?

A

male sex, family history, smoking, stress, common inn blood group O, NSAID use, H. Pylori

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9
Q

What are some potential complications of PUD?

A

perforation, bleeding, obstruction, anaemia, cancer, oesophageal stenosis

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