Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MB1: Gastrointestinal > Oesophageal and gastric disease > Flashcards

Oesophageal and gastric disease Flashcards

1
Q

what is GORD

A

acid reflux due to incompetent LOS and poor oesophageal clearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

lifestyle management of GORD

A

smoking cessation
weight loss
trigger avoidance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

why are antacids not the best for treating GORD

A

only provide symptomatic treatment, do not give stomach and oesophagus time to heal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

true/false - ranitidine has tolerance after 8 weeks

A

false - after 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

best treatment of GORD

A

30mg lansoprazole - PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

where would surgery for GORD be indicated

A

young patients with severe disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is a complication of barretts oesophagus

A

adenocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is gastroparesis

A

delayed gastric emptying with no physical obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

cause of gastroparesis

A 
idiopathic 
diabetes
cannabis 
anticholinergics/opiates
systemic disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

investigation of gastroparesis

A

gastric emptying studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

management of gastroparesis

A

liquid diet
eat little and often
remove cause eg drug
gastric pacemaker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

describe dyspepsia by the rome III criteria

A

epigastric pain/burning
postprandial fullness
early satiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

dyspepsia is more common with ___ and ____

A

H.pylori

NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how would uncomplicated dyspepsia present on examination

A

epigastric tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how would complicated dyspepsia present on examination

A

cachexia, mass, peritonism, gastric outflow obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

common causes of PUD

A

h pylori

NSAIDs

17
Q

complications of h pylori infection

A

PUD - duodenal ulcer
non-cardia gastric adenocarcinoma
low grade gastric lymphoma

18
Q

management of h pylori ulcer

A

triple therapy - amoxicillin/metronidazole and clarithromycin with PPI for 1 week

19
Q

if NSAID induced ulcer what is the treatment

A

PPI

remove NSAIDs

20
Q

complications of PUD

A

anaemia
bleeding
perforation
fibrosis so gastric outlet/duodenal obstruction

21
Q

cause of acute upper GI bleed

A

duodenal/gastric ulcer
gastric erosion
oesophagitis
neoplasia

22
Q

how do you identify a poor prognostic group in acute upper GI bleed

A

Systolic <100mmHg
pulse>100
Hb<100g/L
age>60

23
Q

treatment of bleeding peptic ulcers

A 
injection of adrenaline 
heat probe coagulation 
clips 
haemospray 
IV omeprazole - acid suppression
24
Q

risk factors for bleeding varices

A

portal pressure >12mmHg
varices >25% oesophageal lumen
red signs
liver failure

25
Q

mortality of bleeding varices

A

25-50%

26
Q

treatment of acute variceal bleed

A 
terlipressin 
endoscopic variceal ligation 
scleropathy 
balloon
TIPS

MB1: Gastrointestinal (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions