Peptic ulcers Flashcards
1
Q
Do ruptured peptic ulcers typically cause upper GI bleeds?
A
rare as site of perforation is anterior, where there are no major arteries
2
Q
What is the management of peptic ulcer perforation?
A
omental patch (only for duodenal, not gastric?)
3
Q
Which investigations should you carry out for peptic ulcer perforation?
A
FBC, AXR, CT
NEVER endoscope as this will increase risk of major bleed
4
Q
How might you observe patient in bed with perforated peptic ulcer?
A
lying very still with shallow respirations, ‘boardlike’ rigidity
5
Q
What does AXR show in the majority of perforated peptic ulcers?
A
free gas
