L5: Peptic Ulcer

Question 1

Read the Lecture & Compare the similarities with the medicine lecture

You Can Study Medicine PU Flashcards

Answer 1

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Question 2

Complications of PU

Answer 2

• Bleeding.
• Penetration.
• Gastric Carcinoma.
• Perforation.
• Obstruction.

Question 3

Incidence of Bleeding PU

Answer 3

• May be the first presentation.
• The most common complication.

Question 4

CP of Bleeding PU

Answer 4

• Occult blood in the stool.
• Coffee ground emesis.
• Hematemesis.
• Melena.
• Sudden collapse and shock

Question 5

Incidence of Perforation of PU

Answer 5

• Much less common.
• Mostly in elderly patients taking NSAIDs, corticosteroids.

Question 6

CP of Perforation of PU

Answer 6

Question 7

• With either DU or GU, a marked increase of pain and spread to the whole abdomen may indicate …..

Answer 7

perforation

Question 8

Site of Penetration of PU

Answer 8

Penetration into an adjacent structure such as pancreas, or the biliary system.

Question 9

CP of Penetration of PU

Answer 9

• Gradual exacerbation of pain.
• Increase in local tenderness.
• Features of an additional disease (Mostly pancreatitis)

Question 10

Causes of Gastric Outlet Obstruction in PU

Answer 10

Occurs due to:
- Edema and inflammation surrounding an ulcer (early).

• Permanent scarring with fibrosis (late)

Question 11

Answer 11

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