Peptic ulcer Flashcards
1
Q
2 important causes of ulcers
A
H pylori
NSAIDs
2
Q
Are more duodenal or gastric ulcers caused by h pylori?
A
duodenal
3
Q
Are more duodenal or gastric ulcers caused by nsaids?
A
gastric
4
Q
What treatments are used?
A
Antacids/alginate for immediate relief
PPI
H2-receptor antagonist
H-pylori eradication
5
Q
What is the highest risk NSAID?
A
Azapropazone (second line agent for rheumatoid arthritis, ankylosing spondylitis and acute gout)
6
Q
Symptoms of peptic ulcer
A
dull pain in the stomach weight loss not wanting to eat because of pain nausea or vomiting bloating burping or acid reflux heartburn (burning sensation in the chest) pain improves when you eat, drink, or take antacids
7
Q
Risk factors for peptic ulcer
A
Smoking Steroid use frequently Hypercalcaemia Family Hx >50yo Alcohol
8
Q
Complications of peptic ulcer
A
Perforation
Bleeding
Gastric outlet obstruction
Penetration
