Flashcards in Dyspepsia and Peptic Ulcer Disease Deck (19)
What are epigastric pain or burning (epigastric pain syndrome), post-prandial fullness (postprandial distress syndrome) and early satiety (postprandial distress syndrome)?
What are 5 foregut structures?
Oesophagus, stomach, duodenum, pancreas and gallbladder
(oh such difficult positioning games)
What are organic causes of dyspepsia?
Peptic ulcer disease
Drugs (NSAIDs, COX2 inhibitors)
If dyspepsia presentation has alarm symptoms, what should you check for?
What criteria are these: presence of one of the following - bothersome postprandial fullness, early satiation, epigastric pain and epigastric burning?
Rome III diagnostic criteria for functional dyspepsia
What is the pain like in peptic ulcer disease?
Pain predominant dyspepsia to back, nocturnal, aggravated or relieved by eating
What are the two most common causes of peptic ulcer diease?
NSAIDS (COX1, COX2 and PGE)
What is a gram negative microaerophilic flagellated bacillus?
How is H.pylori transmitted?
Oral-Oral/faecal oral spread
When is H.pylori aquired?
What is found in 95% of duodenal ulcers and 75% of gastric ulcers?
What do parietal cells produce?
What are 4 methods for diagnosing H.pylori?
C13UREA BREATH TEST
FAT (faecal antigen test)
Serology (IgA antibodies)
What enzyme is present in the stomach if H.pylori is present?
What drug should be given to all PUD patients and what test performed?
Urea breath test
What drugs should be withdrawn in PUD?
What is the triple therapy for eradicating H.pylori?
1. PP1 + amoxicillin + clarithromycin
2. PPI + metronidazole + clarithromycin
What are anaemia, bleeding, perforation and gastric outlet/duodenal obstruction complications of?