PUD and Duodenal Ulcers Flashcards
What are the possible consequences of PID?
Pain
hemorrhage
perforation
obstruction
Bacteria associated with PUD?
H.pylori
What is the treatment for PUD?
Treat H. pylori with MOC or ACO
2-week antibiotic regimen
MOC: Metronidazole, Omeprazole, Clarithromycine
ACOL: Ampicillin, Clarithromycin, Omeprazole
What is the name of the sign with RLQ pain/peritonitis as a result of succus collecting form a perforated peptic ulcer?
Valentino’s sign
Which age group are Duodenal ulcers common?
40-65 y.o.
Men>women (3:1)
What is the most common location of duodenal ulcer?
Within 2 cm of the pylorus in the duodenal bulb
What is the classic pain response to food intake?
Relieves with food
Think: Duodenum=Decreased with food
What is the cause of duodenal ulcer?
Increased production of gastric acid
What syndrome must you always think of with a duodenal ulcer?
Zollinger-Ellison syndrome
What are the associated risk factors for duodenal ulcer?
Male Smoking aspirin NSAIDS uremia Z-E syndrome H.pylori trauma burn injury
What are the symptoms of duodenal ulcer?
Epigastric pain- burning, aching Bleeding Back pain Nausea, vomiting, and anorexia decreased appetite
What are the signs of Duod ulcer?
Tenderness in epigastric area
guaiac-positive stool, melena, hematocezia, hematemesis
Treatment for duodenal ulcer
PPI , H2 blocker - heals ulcer within 4-6 weeks
When is surgery indicated in Duodenal Ulcer?
IHOP: Intractability Hemorrhage Obstruction Perforation
How is a bleeding duodenal ulcer surgically corrected?
Opening of the duodenum through thte pylorus
Oversewing of the bleeding vessel
