Ulcers

Question 1

What finding on a cheat radiograph confirms perforation?

Answer 1

Gas under the diaphragm

Question 2

What are the causes of peptic ulcers? (4)

Answer 2

H pylori
Increased stomach acid production
Recurrent NSAID use
Mucosal ischaemia

Question 3

What type of GI ulcers are more common?

Answer 3

Duodenal ulcers

Question 4

What causes duodenal ulcers?

Answer 4

Increased acid production

Question 5

What are the clinical presentations of duodenal ulcers? (3)

Answer 5

Pain relieved by meal + antacids
Melena
Pain wakes pt up during the night

Question 6

When does the pain occur in duodenal ulcers?

Answer 6

2-3 hours after meal (may cause wt gain)

Question 7

Are duodenal ulcer malignant?

Answer 7

Not malignant

Question 8

What causes gastric ulcers?

Answer 8

Decreased mucosal resistance

Question 9

What are the clinical presentations of gastric ulcers? (2)

Answer 9

Pain increased by meal, not relieved by antacids

Vomiting (coffee ground)

Question 10

When does the pain occur in gastric ulcers?

Answer 10

30mins - 1hr after meal, esp fatty foods (may cause at loss)

Question 11

Are gastric ulcers malignant?

Answer 11

Malignancy is associated