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GI > Stomach Disorders > Flashcards

Stomach Disorders Flashcards

1
Q

Define dyspepsia

A

discomfort or pain in upper abdomen - indigestion

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2
Q

Describe an EGD

A

esophagogastroduodenoscopy - upper endoscopy
- visual exam of upper digestive system with a tiny camera on a flexible tube
- requires sedation
- NPO prior to procedure
- risk of bleeding, infection, perf

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3
Q

Describe the MOA of a PPI

A

suppress gastric basal & stimulated acid secretion

inhibit parietal cell H+/K+ ATP pump

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4
Q

What are some concerns for long term PPI use

A
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5
Q

List the MOA of H2 receptor antagonists

A

block histamine that stimulates the parietal cells of the stomach to produce acid, thus decreasing acid production

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6
Q

What is the pathophysiology of barrett esophagus

A

squamous epithelium of esophagus replaced by metaplastic columnar epithelium (goblet cells and columnar cells)

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7
Q

List some complications of GERD

A
  • Barrett esophagus
  • Peptic stricture
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8
Q

Describe the etiology of gastritis

A
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9
Q

Describe the etiology & presentation of erosive/hemorrhagic gastritis/gastropathy

A
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10
Q

Describe the diagnosis & treatment of erosive/hemorrhagic stress gastritis

A
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11
Q

Describe the alarm symptoms and treatment for NSAID gastritis

A
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12
Q

Describe the etiology, presentation, & treatment for alcohol related gastritis

A
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13
Q

Describe the etiology & diagnosis of non-erosive non-specific gastritis

A
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14
Q

Describe the 3 types of h. pylori gastritis

A
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15
Q

Describe the etiology & diagnosis of pernicious anemia gastritis (nonerosive)

A
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16
Q

Describe the etiology of peptic ulcer disease

A
17
Q

Describe the presentation of peptic ulcer disease

A
18
Q

Describe the diagnosis of peptic ulcer disease

A
19
Q

Describe the treatment for peptic ulcer disease (& H pylori eradication)

A
20
Q

Describe the use of misoprostol in PUD

A
21
Q

Describe the standard bismuth quadruple therapy for H pylori eradication

A
22
Q

Describe the standard non-bismuth quadruple therapy for H pylori eradication

A
23
Q

Describe H pylori triple therapy

A
24
Q

List some non-pharm managements for PUD

A
  • eat balanced meals at regular intervals (bland diet not needed
  • moderate alcohol intake okay
  • SMOKING CESSATION
  • stop NSAIDs
25
Q

What is the most common reason for PUD recurrence

A

Failure to eradicate H pylori

26
Q

Describe functional dyspepsia

A

pain with no evidence of structural disease

27
Q

List some complications of PUD

A

hemorrhage, perforation, penetration, pyloric outlet obstruction

28
Q

Describe the etiology & presentation of zollinger-ellison syndrome

A
29
Q

Describe the diagnosis & treatment of zollinger ellison

A
30
Q

Describe the etiology of pyloric stenosis

A
31
Q

Describe the presentation of pyloric stenosis

A
32
Q

Describe the diagnosis & treatment of pyloric stenosis

A
33
Q

Describe the etiology of gastric adenocarcinoma

A
34
Q

Describe the presentation of gastric neoplasms

A
35
Q

Describe the diagnosis of gastric neoplasms

A

GI (17 decks)

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