Gastro medical Flashcards
1
Q
effects of environment on GIT disorders
A
Hypaemic hypoxia at altitude Anti-G countermeasures sustained G Gas expansion - tolerable symptoms may become intolerable on ascent irregular meal times Dietary limitations/ inconsistency long haul flights stress Toile facilities: fast jet vs transport
2
Q
Effects of GIT disorders on aviation
A
at best distracting symptoms at worst incapacitating symptoms or complications Multisystem involvement Sleep disturbance and fatigue Medical side effects symptoms variable exacerbations and remission
3
Q
GORD
environment on condition
condition on aviation
A
Environment on condition
- gas expansion
- AGSM
- G suit
- Dietary inconsistency
Condition vs aviation
- distracting symptoms
- potentially incapacitating
- possible of anaemia
- sleep disturbance/fatigue
commonest cause of incapacitation
4
Q
Ix for GORD
A
Endoscopy +/- biopsy Imaging Routine bloods H=pylori testing stool sampling vitamin level
5
Q
consideration for PPI
A
Esomeprazole, pantoprazole, omeprazole
ground trail 7 days
MECR for maintenance therapy
6
Q
Consideration for mesasalazine
A
Oral or topical
long term maintenance therapy
ground trail 28 days
7
Q
Immunomodifiers
A
ground trail 6 months
8
Q
Which of the following medications used in the tx of GIT require ground trail and UAMECR A short term OTC antacids B proton pump inhibitors C oral corticosteroids D laxatives
A
B PPI
