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Ex3GI CM > The Food Pouch-Ross > Flashcards

The Food Pouch-Ross Flashcards

1
Q

What three regulatory systems stimulate the stomach’s production of acid?

A
  1. Neurocrine
  2. Paracrine
  3. Endocrine
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2
Q

What disease is this?

chronic or acute inflammation of gastric mucosa: multiple etiologies

A

gastritis

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3
Q

This is a continuous or recurrent upper abdominal pain it’s a symptom not a pathophysiologic condition

A

dyspepsia

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4
Q

Is gastritis erosive?

A

Non, non-erosive

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5
Q

Endoscopy of what disease can cause subepithelial hemorrhages, petechiae and erosions

A

gastritis, specifically stress gastritis

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6
Q

What disease is this?

Gastric and duodenal is a more chronic illness characterized by the formation of recurrent ulcers (>5mm in size) in the stomach an proximal duodenum

A

PUD

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7
Q

Helix shaped curved gram neg rod with flagella that penetrate through mucosa of stomach to a less acidic environment. Also produces ammonia.

A

H. pylori

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8
Q

How do we test for H. pylori?

A

Serum IgG antibody, urea breath test, *endoscopy

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9
Q

What is the gold standard way to test for H.pylori?

A

endoscopy

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10
Q

Do you get relief from eating with a duodoneal or gastric ulcer?

A

duodenal

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11
Q

Gastric or duodenal ulcer?
• Burning pain 1-3 hours after meals, relieved by food
• Epigastric pain (vague discomfort, cramping, hunger pangs)
• Nocturnal pain with early morning awakening
• usually within 3cm of pylorus

A

duodenal

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12
Q 
Gastric or duodenal ulcer?
•Not common to see post- prandial epigastric pain
• Weight loss
• later in life peak 6th decade 
• associated with malignancy
A

gastric

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13
Q

Treatment for peptic ulcer?

A
  • Antacids
  • H2 blockers
  • PPIs
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14
Q

Should you test everyone with H. pylori?

A

test only if you plan to treat

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15
Q

What test has a good sensitivity and specificity for H. pylori?

A

Stool antigen

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16
Q

A patient comes in with peptic ulcer disease or new-onset dyspepsia, what do you do next?

A

Test for H. pylori

17
Q

If a patient has a positive H. pylori test, what do you do next?

A

First line tx then wait 1 month after tx finishes to

18
Q

Bowel obstructions present with what type of pain?

A

diffuse colicky pain

19
Q

Mesenteric ischemia presents with what type of pain?

A

pain out of proportion to exam

20
Q

Pancreatitis presents with what type of pain?

A

epigastric pain radiating to back left shoulder blade

21
Q

Appendicits presents with what type of pain?

A

periumbilical pain to rlq in children rectal pain

22
Q

If there is there perforation, abscess, obstruction or a mass what imaging should you consider?

A

CT

23
Q

______ is associated with alcohol, NSAID and stress

A

gastritis

24
Q

Almost all non-NSAID and alcohol related ulcers are due to this pathogen

A

Heliocobacter pylori

25
Q

In patients with suspected PUD and are not on NSAID’s what should you do to treat?

A

treat empirically for H. pylori with triple medication for 14 days with PPI, clarithromycin and amoxicillin

26
Q

Patients over 50 who present with dyspepsia or PUD symptoms should be get an ________

A

endoscopy due to higher risk for gastric cancer

27
Q

Patients over 50 who present with dyspepsia or PUD symptoms should be get an ________

A

endoscopy

28
Q

Patients with acute onset of intense pain, abnormal vitals and vomiting consider the diagnosis of ___________

A

perforated ulcer

29
Q

A patient with peritonitis and therefore will be very still and have generally __________ vitals

A

abnormal

30
Q

Any time there is free air in the abdomen, what do you need?

A

a surgeon

31
Q

If there is no free air on KUB (xray of kidneys, ureters, bladder) what should you do?

A

consult with GI instead surgery first

32
Q

The presence of free intra-abdominal gas usually indicates what? Is this emergent?

A

EMERGENT because could be due to a perforation from a peptic ulcer

33
Q

People who fail first line H. pylori tx should be treated with what three drugs?

A

Tetracycline, metronidazole, bismuth

34
Q

What is the preferred diagnostic to dx PUD?

A

endoscopy

35
Q

Zollinger Ellison syndrome is the excessive secretion of gastric acid by a gastrinoma. It can be located in what three places?

A
  • Pancreas
  • Duodenal wall
  • Lymph nodes

“gastrinoma triangle”

36
Q

How do we test for ZES?

A

fasting gastrin levels

Ex3GI CM (15 decks)

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