Peptic Ulcer Flashcards

1
Q

open sores/ Hallowed that develop on the inside lining of your stomach and the upper portion of your small intestine. Cause of increased Acid can lead to perforation to peritonitis

A

peptic ulcer dse

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2
Q

can cause excavation, excoriation and erosion of the mucosal lining

A

Peptic ulcer

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3
Q

causes of Peptic ulcer

A
  1. Infection of H. pylori
  2. Drugs NSAID
  3. Zollinger elison syndrome
  4. Stress ulcer
  5. CASH DIET
    Coffee, Citrus food, Carbonated drinks
    Alcohol
    Spicy foods, spearmint, peppermint, Smoking
    High fat diet
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4
Q

what drug can cause peptic ulcer?

A

NSAID such as ibuprofen, aspirin, naproxen for arthritis px

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5
Q

can get oral and fecal route, destroys the mucosal barrier and increased the acid secretion. can also check the co2

A

h.pylori

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6
Q

it is a tumor formation also known as GASTRINOMA

A

Zollinger elison Syndrome

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7
Q

what is the effect of gastrin hormone in gastrinoma?

A

the higher the gastrin the higher the acid

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8
Q

2 types of stress ulcer

A

cushing ulcer and curling ulcer

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9
Q

related to brain CRASH injury / head trauma, affected CN#10, (hypo- brady-brady)

A

Cushing ulcer

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10
Q

related to BURNING 3rd/ 4th degree burn lead to fluid shifting
Decreased BV of the stomach- Gastric ischemia less o2 in the stomach- WEAK MUCOSAL BARRIER

A

Curling ulcer

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11
Q

in a Cash diet what type of personality that is risk in PUD

A

Blood type O and personality A

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12
Q

Location: in stomach, lesser curvature of the stomach, and antrum lower end. 20%most cases have it

A

Gastric ulcer

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13
Q

what is the pain onset of Gastric ulcer

A

30 mins after meal

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14
Q

Location: small intestine in the (duodenum)
Onset: 2-3hr pc after meal, and it awakens the pt at night. 80% people have it

A

Duodenal ulcer

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15
Q

it is relived by vomiting= wgt loss and blood in the vomit (hematemesis) or coffee ground emesis

A

Gastric ulcer

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16
Q

it is relieved by Eating= wgt gain and has a Bleeding in the stool “BLACK TARRY STOOL/ MELENA”

A

Duodenal Ulcer

17
Q

it has DULL, GNOWING PAIN

A

Gastric Ulcer

18
Q

complication at Gastric ulcer

A
  1. perforation=peritonitis* lead to low grade fever- increase HR+rebound tenderness+ rigid like abdomen
  2. gastric cancer
  3. anemia
19
Q

complication of Duodenal ulcer

A
  1. malnutrition/ malabsorption
  2. perforation=peritonitis
  3. anemia
20
Q

what is the diagnostic test peptic ulcer

A
  1. Endoscopy/ EGD (esophagogastroduodenoscopy) *
  2. Urea Breath test- to confirm H.pylori
  3. H.pylo blood test
  4. CBC= decreased HGB& HCT
  5. Fecal occult blood test
21
Q

mgt of peptic ulcer

A

treat the cause
1. Infection= antibiotics
Tetracycline
Metrodinazole+h2 blocker (tidine)
Amoxicillin
Clarithromycin

H2 blocker (+) Bismuth subsalicylates
antacid, anti diarrhea, inhibits bacterial growth

  1. NSAID
    a. Misoprostol; C/i for preg taken with meals
    b. sucralfate (carafate) coats ulcer wounds
  2. ZES
    DOC: octredtideacetate- growth hormone suppressant
22
Q

surgery of PUD

A
  1. Vagotomy
  2. Gastrectomy/ antrectomy= Billroth Procedure

I. Gastroduodenostomy- stomach connect to the duodenum

II. Gastrojejunostomy- stomach to jejunum*

23
Q

complication of PUD

A

1.Dumping syndrome- rapid gastric emptying
2. pernicious anemia

24
Q

Diet for Dumping syndrome
Intake & fluids

A
  1. Small frequent diet
    decreased CHO
    decreased Sugar
    Increased CHON
    increased Fat
  2. Fluids 1hr before meals/ 2hrs after eating
25
Q

position dumping syndrome

A

flat on bed/ supine Left side lying position to store the food

if need to empty Right side lying position

26
Q

it is no intrinsic factor= no vit B and has a neurologic s/sx

A

pernicious anemia
s/sx; confusion, ataxia, parasthesia

27
Q

what do you called both pernicious anemia and folic acid anemia

A

Megaloblastic

28
Q

where can you get Vit B12

A

MEAT

29
Q

mgt for B12

A

for life