PUD/h Pylori

Question 1

Treatment for H pylori?

Answer 1

7-14 days

PPI BID
clarithromycin 500 mg BID
amoxicillin 1 g BID or metronidazole 500mg BID

or 
PPI BID
bismuth subsalicylate BID
tetracycline 500 mg QID 
metro 250 QID 

once eradicated keep PPI or step down to H2RA for 4-8 weeks for healing

Question 2

Ulcer not r/t pylori?

Answer 2

PPI - DU 4 weeks; GU 8 wks

OR
H2RA - DU - daily HS 6 weeks; GU BID 8 weeks

Question 3

symptoms of PUD?

Answer 3

epigastric tenderness, generalized sharp dull achy pain, burning, relieved by milk or food. can waken you at night.

Question 4

labs for PUD

Answer 4

GI upper endoscopy

but also may want to do FOBT to check for bleed? on that note check rectum, LFTs, and CBC.

Question 5

symptoms of PUD?

Answer 5

epigastric tenderness, generalized sharp dull achy pain, burning, relieved by milk or food. can waken you at night.

Question 6

labs for PUD

Answer 6

GI upper endoscopy

but also may want to do FOBT to check for bleed? on that note check rectum, LFTs, and CBC.