HIGH YIELD III Flashcards
includes both gastric and duodenal ulcers
defects extend through the muscular mucosa into the deeper layers of the wall
1-2 cm distal to pylorus
lesser curvature of stomach
what is this disease?
peptic ulcer disease
H pylori infection, NSAIDs, stress, and excess gastric acid are etiologies that cause?
peptic ulcer disease
what are the risk factors for peptic ulcer disease?
H pylori and NSAIDs
stress
hypersecretory states
tobacco, alcohol, caffeine
this type of ulcer, duodenal or gastric, is the type that where food relieves the pain?
duodenal ulcer
this type of ulcer, duodenal or gastric, is the type that where food aggravates the pain?
gastric ulcer
GU or DU has a higher malignancy potential?
GU
PUD alarm features?
bleeding or anemia early satiety unexplained weight loss progressive dysphagia or odynphagia recurrent vominting family hx of gastric cancer
the most sensitive and specific test for PUD?
endoscopy, biopsy if present
PUD therapy? if 1)H pylori? 2)NSAID related?
1)complete triple/quadruple therapy
continue PPI x 4-6 weeks
2)discontinue the NSAID, if not lowest dose used
PPI x 4-8 weeks
*sucralfate
duration of tx for PPI or H2RA?
response by tx
eradication of H pylori
ability to remain of NSAIDs
biggest complication of PUD?
GI bleeding presenting as hematemesis or melena
sudden onset severe ab pain
radiation of pain to back
peritoneal signs
evidence fo pneumoperitoneum
indicates what complication of PUD?
perforation
what do PUDs penetrate into?
pancreas, left hepatic lobe, colon, liver or biliary tree
least common PUD complication?
gastric outlet obstruction
N/V
satiety
ab pain
weight loss
PUD surgical procedures?
vagotomy and drainage stomach drainage -pyloroplasty -gastroduodenostomy -gastrojejunostomy
