MedU Case 19 Flashcards

1
Q

epigastric abdominal pain that is relieved with meals

A

peptic ulcer disease

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2
Q

use of what causes PUD

A

NSAIDs
cigarettes
physiological stress
H. pylori

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3
Q

epigastric pain that improved immediately after a meal

A

gastritis

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4
Q

use of what causes gastritis

A

alcohol

NSAIDs

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5
Q

epigastric pain radiating to the back and worsens w/ eating

A

acute pancreatitis

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6
Q

complications of PUD

A

hemorrhage
perforation
gastric outlet syndrome

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7
Q

dysphagia to liquids

A

motility disorder

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8
Q

rapidly progressive dysphagia

A

adenocarcinoma

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9
Q

dysphagia to solids

A

peptic stricture

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10
Q

early satiety

A

gastroparesis

gastric outlet obstruction

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11
Q

recurrent vomiting

A

gastric outlet obstruction

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12
Q

trial of PPIs should last how long?

A

8 wks

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13
Q

PPI ADRs

A
CAP
C. diff
osteoporosis
inhibits anti-platelet meds
defic Fe, Mg, B12
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14
Q

best H. pylori test if not getting endoscopy

A

H. pylori IgG

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15
Q

conditions in order to do urease breath test

A

need to be off PPIs for 2 weeks

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16
Q

triple therapy for H. pylori

A

PPI
amoxicillin (or metronidazole)
clarithromycin

17
Q

quadruple therapy for H. pylori

A

PPI
metronidazole
tetracycline
bismuth

18
Q

tests to evaluate eradication of H. pylori

A

urease breath test

fecal antigen test

19
Q

indications for testing if H. pylori was eradicated post treatment

A
H. pylori-associated ulcer
sxs despite tx for H. pylori
H. pylori-associated MALT lymphoma, 
h/o resection for early gastric cancer, 
plan to resume chronic NSAID therapy