PUD Flashcards
1
Q
two categories
A
gastric
duodenal
2
Q
Mgx
A
If h.pylori +ve - eradication therapy
Lifestyle
PPI (omerprazole)
H2 RA
3
Q
Zollinger-ellison syndrome
A
Gastrinoma
In head of pancreas or duodenum
release gastrin
Causes stomach to produce more acid
4
Q
H.pylori
A
colonises antrum
causes inflammation
Damages gastric mucosa
Forms ulcerations
5
Q
NSAIDs
A
Inhibits COX 1
Decreases prostaglandins, which protect
Abrasions to stomach will be unable to heal
Pepsin can cause ulcerations
6
Q
Smoking
A
Decreases prostaglandin synthesis
7
Q
Ix
A
FBC
LFTs
Amylase
UGI endoscopy
8
Q
H. pylori testing
A
Urea breath test
\Bloods - checks for IgG
Stool antigen
Urease
9
Q
A