Tummy pain

Question 1

Causes of ??????????

Answer 1

Hpylori
NSAIDs
TB
Zollinger ellison syndrome
TB
Sarcoid

Question 2

?

Answer 2

Barry Marshall and Warren

Question 3

Antrum predominant

Answer 3

Increased acid output causing:
Gastric metaplasia, causing
Distal gastric ulcers, duodenal ulcer

Question 4

Cancers associated with helicobacter

Answer 4

Adenocarcinoma of corpus
of antrum
MALT b cell lymphoma

Question 5

?

Answer 5

Decreased acid output
Gastric ulcer
and cancer

Question 6

non-invasive test for h.pylori

Answer 6

Carbon urea breath test
Serology IgG, IgA
PCR saliva/faeces

Question 7

Trreatment for peptic ulcer disease

Answer 7

stop nsaids
eradicate hpyori
repeat endoscopy 6-8w later
consider unusual

Question 8

What is dysentery and most commonly due to

Answer 8

Diarrhoea with frank blood

Infection

Question 9

Bacillary dysentery due to

Answer 9

Shigella
Salmonella
Yersinia
Campylobacter
E.coli

Question 10

?

Answer 10

Frequency
Consistency
Blood/mucus
Pain/vomiting/fever

Bowels open at night?
Urgency?
Does it flush away?

Question 11

Parasitic causes of diarrhoea

Answer 11

Giardia lamblia

Question 12

?

Answer 12

Coeliac disease

Question 13

?

Answer 13

3 day faecal fat estimation
B12, folate, Fe, ferritin
PT
???

Question 14

Lactulose breath test -used to test for bacteria suggesting malabsorption

Answer 14

?

Question 15

?

Answer 15

DQ2 DQ8

Question 16

?

Answer 16

Fistula and strictures common in crohns

Question 17

Crohn’s

Answer 17

Th1 and Th17