peptic ulcer disease

Question 1

what is PUD?

Answer 1

erosion of the lining of the gastrointestinal tract

Question 2

is PUD mostly asymptomatic?

Answer 2

yes

Question 3

S/S of PUD

Answer 3

nausea and vomiting
burning gastric pain
abdominal fullness and belatedness
hematemesis - upper GI bleed
Melana stool - lower GI bleed
anemia - pallor, fatigue and sob
jaundice - affected liver and gall bladder

Question 4

types of ulcers

Answer 4

gastric ulcer
duodenal ulcer

Question 5

how does the pain happen for gastric ulcers?

Answer 5

more than 12-30mins after meal

Question 6

how does the pain happen for duodenal ulcers?

Answer 6

more than 2-3hrs after meal and at night

Question 7

what are the risk factors?

Answer 7

helicobacter pylori - disrupts the protective mechanisms in the gastric mucosa
NSAIDs - inhibit the prostaglandin synthesis
other
smoking
alcohol
hurry - stress
worry - stress
curry - spicy food

Question 8

diagnosis?

Answer 8

history taking
OGD
fecal occult blood test
urea breath test - another test for h-pylori

Question 9

complications

Answer 9

peritonitis
pyloric obstruction
bleeding

Question 10

hypolri treatment with meds what are the?

Answer 10

PPI + clarithromycin + amoxicillin

Question 11

what is coldspa?

Answer 11

C- characteristics of pain
O - onset of pain
L - location of pain
D - duration of pain
S - severity of pain
P - pattern of pain
A - associated factors

Question 12

will u give suppository or lactulose to this paitent?

Answer 12

no it can further stimulate the peristalsis movement can eventually lead to mucosa rupture and peritonitis

Question 13

client education?

Answer 13

avoid caffeine, alcohol, and high fatty food
eat high in iron food