OnlineMedEd: Gastroenterology - "Misc Gastric" Flashcards

1
Q

Describe the patient presentation of gastroparesis.

A
  • Chronic nausea and vomiting
  • Abdominal pain with eating
  • Neuropathy (if diabetic gastroparesis)
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2
Q

What is the usual diagnostic order of events in cases of gastroparesis?

A
  • Do an endoscopy to rule out esophageal causes, ulcer, and cancer
  • Gastric emptying study (60% at 2 hours or 10% at 4 hours is a positive)
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3
Q

A big caveat with gastric emptying studies is ________________.

A

that they must be off opiates and anticholinergics

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4
Q

______________ can improve the symptoms of gastroparesis.

A

Improved glucose control

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5
Q

What antibiotic is often used in the treatment of gastroparesis?

A

IV erythromycin

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6
Q

True or false: high-fiber diets can help gastroparesis.

A

False

Low-fiber, small-volume meals are recommended for treatment.

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7
Q

Cyclic vomiting is sometimes related to ____________.

A

habitual marijuana use

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8
Q

List the two predisposing factors to gastric adenocarcinoma.

A
  • East Asia

* Nitrites

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