Peptic Ulcer Flashcards
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
peptic ulcer dse
can cause excavation, excoriation and erosion of the mucosal lining
Peptic ulcer
causes of Peptic ulcer
- Infection of H. pylori
- Drugs NSAID
- Zollinger elison syndrome
- Stress ulcer
- CASH DIET
Coffee, Citrus food, Carbonated drinks
Alcohol
Spicy foods, spearmint, peppermint, Smoking
High fat diet
what drug can cause peptic ulcer?
NSAID such as ibuprofen, aspirin, naproxen for arthritis px
can get oral and fecal route, destroys the mucosal barrier and increased the acid secretion. can also check the co2
h.pylori
it is a tumor formation also known as GASTRINOMA
Zollinger elison Syndrome
what is the effect of gastrin hormone in gastrinoma?
the higher the gastrin the higher the acid
2 types of stress ulcer
cushing ulcer and curling ulcer
related to brain CRASH injury / head trauma, affected CN#10, (hypo- brady-brady)
Cushing ulcer
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
Curling ulcer
in a Cash diet what type of personality that is risk in PUD
Blood type O and personality A
Location: in stomach, lesser curvature of the stomach, and antrum lower end. 20%most cases have it
Gastric ulcer
what is the pain onset of Gastric ulcer
30 mins after meal
Location: small intestine in the (duodenum)
Onset: 2-3hr pc after meal, and it awakens the pt at night. 80% people have it
Duodenal ulcer
it is relived by vomiting= wgt loss and blood in the vomit (hematemesis) or coffee ground emesis
Gastric ulcer
it is relieved by Eating= wgt gain and has a Bleeding in the stool “BLACK TARRY STOOL/ MELENA”
Duodenal Ulcer
it has DULL, GNOWING PAIN
Gastric Ulcer
complication at Gastric ulcer
- perforation=peritonitis* lead to low grade fever- increase HR+rebound tenderness+ rigid like abdomen
- gastric cancer
- anemia
complication of Duodenal ulcer
- malnutrition/ malabsorption
- perforation=peritonitis
- anemia
what is the diagnostic test peptic ulcer
- Endoscopy/ EGD (esophagogastroduodenoscopy) *
- Urea Breath test- to confirm H.pylori
- H.pylo blood test
- CBC= decreased HGB& HCT
- Fecal occult blood test
mgt of peptic ulcer
treat the cause
1. Infection= antibiotics
Tetracycline
Metrodinazole+h2 blocker (tidine)
Amoxicillin
Clarithromycin
H2 blocker (+) Bismuth subsalicylates
antacid, anti diarrhea, inhibits bacterial growth
- NSAID
a. Misoprostol; C/i for preg taken with meals
b. sucralfate (carafate) coats ulcer wounds - ZES
DOC: octredtideacetate- growth hormone suppressant
surgery of PUD
- Vagotomy
- Gastrectomy/ antrectomy= Billroth Procedure
I. Gastroduodenostomy- stomach connect to the duodenum
II. Gastrojejunostomy- stomach to jejunum*
complication of PUD
1.Dumping syndrome- rapid gastric emptying
2. pernicious anemia
Diet for Dumping syndrome
Intake & fluids
- Small frequent diet
decreased CHO
decreased Sugar
Increased CHON
increased Fat - Fluids 1hr before meals/ 2hrs after eating
position dumping syndrome
flat on bed/ supine Left side lying position to store the food
if need to empty Right side lying position
it is no intrinsic factor= no vit B and has a neurologic s/sx
pernicious anemia
s/sx; confusion, ataxia, parasthesia
what do you called both pernicious anemia and folic acid anemia
Megaloblastic
where can you get Vit B12
MEAT
mgt for B12
for life
