Upper GI Bleed and Peptic Ulcer Disease Flashcards
1
Q
Upper GI Bleed
Where do these occur?
How is NGT useful?
A
Oropharynx to Ligament of Treitz
Bilious NGT aspirate designates lower; non bilious is indeterminate
2
Q
Etiology (8)
A
Gastritis Duodenal Ulcers Gastric Ulcers Mallory Weiss Hemobilia (bleeding via common duct) Esophagitis Varices Tumor
3
Q
Differential Diagnosis of Epigastric Pain (6)
A
Peptic Ulcer GERD Gastritis Cholelithiasis Ischemic Heart Disease Pancreatits
4
Q
Diagnostic Procedures (2)
A
EGD
CT with Contrast
5
Q
Medical Therapy (5)
A
PPI H2 Blocker Carafate OTC Antacids Lifestyle Modifications
6
Q
Complications of Duodenal Ulcer (4)
A
Bleeding
Perforation
Gastric Outlet Obstruction
Intractability
7
Q
Signs and Symptoms of Perforated Peptic Ulcer (3)
A
Sudden Onset of Severe Abdominal Pain
Abdominal Rigidity
Absent Bowel Sounds
8
Q
Diagnostic Imaging for Perforated Peptic Ulcer
A
Upright CXR
CT Scan
