Lecture 16.A. - Clinical Approach to Stomach Disease

Question 1

Palpating a pyloric stenosis may reveal an ____-sized mass in the abdomen. Also be on the lookout for _______ alkalosis.

Answer 1

Olive-sized

Hypochloremic

Question 2

Perforating gastric ulcers can be indicated on X-ray by presence of what?

Answer 2

Gastric bubble on the RIGHT side of the patient –> the stomach is on the left, so that’s where the gastric bubble should appear.

Question 3

There are many causes of Gastroparesis, which results in delayed gastric emptying, including _____ (which disease?) and severing of the _____ nerve. Look for patients to present with early _____, pain in the ______ region, along with bloating and vomiting.

Which medications are associated with Gastroparesis, or at least exacerbating it?

Answer 3

Diabetes

Vagus nerve

Satiety

Epigastric

Opioids

Question 4

Gastroparesis can be diagnosed with _______ (gastric emptying study) –> if solids remain after ____ hours indicates positive for Gastroparesis.

Answer 4

Scintigraphy

4 hours

Question 5

______ is a common Prokinetic medication used to treat Gastroparesis. IV ______ can also be used in hospitalized patients needing IV fluids. However, beware of using this and some antiemetics, as they raise the risk for ____ ___ _____.

Answer 5

Metoclopramide

Erythromycin

Torsades de Pointes