PUD

Question 1

3 most common causes

Answer 1

1. H pylori
2. NSAIDs
3. acid hypersecretory states

Question 2

clinical feat.

Answer 2

1. epigastric pain
   - aching/gnawing
2. may have UGIB
3. N/v, early satiety

Question 3

Dx testing (4)

Answer 3

1. scope
2. barium swallow - not ideal
3. Bx for h. pylori
   - serology less specific
4. serum gastin level

Question 4

4 medical Tx of PUD

Answer 4

1. supportive
   - stop meds causing problem
   - less etoh and smoking
2. acid supression
   - PPI and antacid
3. eradicate H.pylior
   - triple or quad therapy
4. cytoprotection
   - sulfracrate - facilitates healing
   - misoprostol - reduces risk of formation