Pathological Conditions: Stomach

Question 1

Gastric Ulcer Disease: Symptoms/Signs & Diagnostics

Answer 1

Symptoms/Signs:
. Epigastric pain radiating to the back
. Pain on ingestion of food
. Weight loss

Diagnostics:
. Upper GI Series
. Endoscopy
. Biopsy to rule out malignancy

Question 2

Gastric Ulcer Disease: Treatments

Answer 2

Medical:
. Dietary control
. Medication control
. Antacids

Surgical:
. Vagotomy
. Excision of ulcer

Question 3

Gastritis: Symptoms/Signs & Diagnostics

Answer 3

Symptoms/Signs:
. Diffuse erythema
. Mucosal disruption
. Nausea
. Vomiting
. Bleeding

Diagnostics:
. History
. Upper GI series
. Endoscopy

Question 4

Gastritis: Treatments

Answer 4

. Withdrawal of noxious agents
. Decompression of stomach
. Antacids
. H2 blockers

Question 5

Gastric Polyp (rare): Symptoms/Signs, Diagnostics & Treatments

Answer 5

Symptoms/Signs:
. Typically asymptomatic

Diagnostics:
. Endoscopy

Treatment:
. Biopsy
. Conservative treatment related to histological findings

Question 6

Bezoar (mass of indigestible vegetable fiber): Symptoms/Signs, Diagnostics & Treatments

Answer 6

Symptoms/Signs:
. Pain
. Indigestion

Diagnostics:
. History
. Endoscopy

Treatment:
. Endoscopic removal
. Surgical removal

Question 7

Carcinoma: Symptoms/Signs, Diagnostics & Treatments

Answer 7

Symptoms/Signs:
. Asymptomatic early
. Weight loss
. Epigastric pain
. Dysphagia
. Hematemesis
. Melena

Diagnostics:
. Laboratory studies
. Upper GI
. Endoscopy
. Biopsy

Treatment:
. Surgical resection

Question 8

Lymphoma, Lelomyoma, Lelomyosarcoma: Symptoms/Signs & Diagnostics

Answer 8

Symptoms/Signs:
. Asymptomatic early
. Weight loss
. Epigastric pain
. Dysphagia
. Hematemesis
. Melena

Diagnostics:
. Laboratory studies
. Upper GI
. Endoscopy
. Biopsy

Question 9

Lymphoma, Lelomyoma, Lelomyosarcoma: Treatment

Answer 9

. Surgical resection
. Benign have good results
. Malignant, very poor results