Module 9: peptic ulcers

Question 1

Peptic ulcer risk factors

Answer 1

old, smoking/drinking, NSAID, (DM, Emphysema, cirrhosis), acute pancreatitis, COPD, obese, SE status, gastrinoma, pylori

Question 2

Duodenal ulcers most common, epigastric pain relieved by__

may have ___ or ___

Answer 2

food

melena or hematemesis

Question 3

Gastric ulcers typically caused by ___bc they block the production of _____ which protect ___
also caused by ___ of pancreatic enzymes/bile and ____

Answer 3

NSAIDS, block production go prostaglandins which protect gastric mucosa
duodenal reflux and H pylori infection

Question 4

Duodenal reflux can occur after ___,____,____

Answer 4

cholecystectomy, pyloroplasty or gastrojejunostomy

Question 5

reflex of pancreatic enzymes and bile in to gastric mucosa allows _____ to diffuse into mucosa= _____ and altered _____

Answer 5

hydrogen ions

damage cells and alter cellular permeability

Question 6

Gastric ulcer epigastric pain _____w eating
may also experience
complications

Answer 6

worse
melena/coffee ground emesis
perforation=peritonitis or bleeding