Miscellanous: Gastric Juice Flashcards
Digestive enzymes gastric juice
Pepsin
Lipase
renin
High secretion of gastrin due to gastrin-secreting tumor oxygenating
from the pancreas
Zollinger ellison
Composition gastric juice
Electrolyte
Mucin
Intrinsic factor
Collection gastric juice
Intubation (fasting patient)
Ewald’s or boa method ( best evacuated tube)
Commonly Used Stimulants gastric juice
Pentagastrin
Histalog
Histamine
TUBELESS METHOD
Diagnex blue test
Patient given azure a dye
TYPE OF SPECIMEN
Basic acid output
Maximum acid output
total gastric secretion during unstimulated, fasting state
Bao
total gastric secretion after gastric stimulation
Mao
Normal acidity
Euchlorhydria
Increased free HCl around 60 ̊
Hyperchlorhydria
Seen in: Peptic ulcers like duodenal and gastric ulcers
Hyperchlorhydria
Decreased free HCl
Hypochlorhydria
Seen in: Gastric syphilis, Gastric cancer, Chronic gastritis
Hypochlorhydria
Absence of free HCl
Achlorhydria
Seen in: Pernicious Anemia, Gastric cancer, pellagra
Achlorhydria
Absence of HCl and renin in gastric juice
Achylia gastrica
Inability to produce a pH less than 6.0 following gastric stimulation
Anacidity
Inability to produce a pH less than 6.0 following gastric stimulation
Anacidity
Dimethylaminoazobenzol (Topfer’s) color
Cherry red
Gunzberg color
Purple-red color
Boa’s color
Rose red color
Normal acidity ph
1.6 to 1.8
High acidity ph
1.4 or lower
Low acidity ph
2.0 to 2.8
Odor: intestinal obstruction, gastrocolic- fistula
Fecal
Odor: carcinomatous ulcer
Foul or putrid
Odor: alcoholic coma, after alc test meal
Alcoholic odr
Odor: uremia
Amoniacal odor
Odor: stenosis and fermentation
Rancid
Volume gastric juice
20-50ml
