Chapter 55-test 2 Flashcards Preview

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Flashcards in Chapter 55-test 2 Deck (26):
1

Acute gastritis

Exposure to local irritants
NSAIDs steroids
If muscle is damaged, hermmorhage occurs

2

Chronic gastritis

Chronic exposure
ETOH
Tobacco
Radiation

3

S/s of chronic gastritis

Patchy diffuse inflammation
Vague epigastric pain
Pernicious anemia-destruction of paritial cells

4

S/s of acute gastritis

Thick, red mucosa, rugae
Rapid onset
Epigastric pain
May vomit blood

5

Type A chronic gastritis

Non erosive
Autoimmune
Parietal cell destruction
Fundus

6

Type B chronic gastritis

Caused by h pylori infection
Antrum

7

Atrophic chronic gastritis

Elderly
Toxic exposure
H pylori
Related autoimmune
Destruction of deep glands

8

Atrophic gastritis may lead to

Gastric cancer
MALT lymphoma

9

Treatment of gastritis

Diet
No ETOH
Caution NSAIDs
Avoid caffeine
Food and water safe
Stress
Smoking

10

Treatment of gastritis medications

Treat h pylori with at least 2 antibiotics and PPI
H2 blocker
PPI
Mucosal barrier fortifiers (karophate)
B12 injections to prevent anemia

11

Most ulcers are caused by

H pylori

12

Gastric ulcers usually develop in the

Antrum

13

Peptic ulcer disease hostile factors

H pylori
Gastric acid
NSAIDs
Pepsin

14

Peptic ulcer disease protective factors

Bicarbonate
Prostaglandins
Blood flow to mucosa

15

Risk factors for peptic ulcer disease

Heredity
Smoking
Stress

16

Gastric and duodenal ulcers can perforate

Peritonitis - tender ridged board like abdomen
Paralytic ileum
Emergency

17

Dyspepsia

Indigestion
Most commonly reported symptoms associated with peptic ulcer disease

18

S/s of gastric ulcer

GI upset
Pain with eating
Rare nighttime symptoms
Hemmatemisis
Nausea vomiting
Anemia

19

S/s of duodenal ulcer

Sharp, burning gnawing pain
Pain occurs 90 mins to 3 hours after eating
Pain wakes them up at night
Melena
Anemia

20

Testing blood

H pylori antibody
H&h

21

Testing stool

Blood
H pylori

22

EGD for ulcer

Gold standard
Biopsy for h pylori
And cancer

23

Medications for treatment

PPIs
H2 blockers
Antacids

24

H pylori infection treatment

Flagyl (metronidazole
Tetracycline or blaxin ( clarithromycin
PPI
Amoxicillin
TRIPLE

25

Treatment diet

No snacking HS
No ETOH
No smoking
Avoid foods

26

Treatment UGI bleed

O2
Start 2 large bore IVs
Normal saline, LR
NPO
NG with lavage
EGD to stop bleeding
Monitor electrolyte