peptic ulcers Flashcards

1
Q

what is a peptic ulcer?

A

breach in GI mucosa as a result of pepsin and acid

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2
Q

what cases peptic ulcers ?

A

NSAIDS and H pylori

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3
Q

what are the edges like?

A

clear cut, punched out.

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4
Q

layers of a peptic ulcer?

A

floor is necrotic fibropurulent debris, base of inflamed granulation tissue, deepest layer is fibrotic scar tissue

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5
Q

complications of a peptic ulcer?

A

perforation, penetration, haemomrrhage, stenosis, intractable pain

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6
Q

Rome II criteria for dyspepsia

A

♣ Epigastric pain or burning
♣ Post-prandial fullness
♣ Early-satiety

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7
Q

treatment of ulcer?

A

in absence of red flags, check h pylori, eradicate if needed. In absence of h pylori –> acid inhibition

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8
Q

what is the quickest way to test for presence of h pylori?

A

13-C urea breath test

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