peptic ulcers Flashcards
1
Q
what is a peptic ulcer?
A
breach in GI mucosa as a result of pepsin and acid
2
Q
what cases peptic ulcers ?
A
NSAIDS and H pylori
3
Q
what are the edges like?
A
clear cut, punched out.
4
Q
layers of a peptic ulcer?
A
floor is necrotic fibropurulent debris, base of inflamed granulation tissue, deepest layer is fibrotic scar tissue
5
Q
complications of a peptic ulcer?
A
perforation, penetration, haemomrrhage, stenosis, intractable pain
6
Q
Rome II criteria for dyspepsia
A
♣ Epigastric pain or burning
♣ Post-prandial fullness
♣ Early-satiety
7
Q
treatment of ulcer?
A
in absence of red flags, check h pylori, eradicate if needed. In absence of h pylori –> acid inhibition
8
Q
what is the quickest way to test for presence of h pylori?
A
13-C urea breath test
