Gastritis Flashcards
1
Q
def
A
inflammation of gastric mucosa
2
Q
aetiology
A
1 H. pylori 2 alcohol 3 NSAIDs 4 previous gastric surgery 5 autoimmune disease
3
Q
history + examination
A
1 epigastric pain
2 vomiting
3 haematemesis
4
Q
investigations
A
1 h. pylori urea breath test
2 h. pylori feacal antigen test
3 endoscopy + biopsy
5
Q
management
A
1 advice -stop alcohol + NSAIDs 2 medical -ranitidine/PPI -triple therapy for H. pylori
6
Q
what is ranitidine
A
a H2 antagonist
reduces acid in stomach
7
Q
what is cyanocobalamin and who should it be given to
A
Vit B12
given to patients with autoimmune gastritis
8
Q
complications
A
1 PUD
2 achlorhydria + Vit B12 deficiency
3 malignancy
9
Q
what is achlorhydria
A
absence of hydrochloric acid in gastric acid secretions
10
Q
prognosis
A
dependent on cause
1 erosive gastritis improves with cessation of NSAIDs/alcohol
2 h.pylori infection has good progosis with triple therapy
