Gastero Intestinal system Flashcards
(28 cards)
what is the Anatomical Landmark that differentiate B/w upper GI Bleed And Lower GI bleed?
ligament of TREITZ (duodenojejunal flexure)
what is the source of Bleeding in Duodenal ulcer?
Gastero duodenal artery
what is the source of bleeding in Gastric ulcer?
Left gastric artery
what is the leading cause of Hematemesis?
Peptic ulcer disease
what are the 2 types of Peptic ulcers?
Gastric ulcer
Duodenal ulcer
what is the most common site of Gastric ulcer?
Lesser curvature
How will the patient of peptic ulcer bleed present?
Crashing blood pressure
what are the steps in managing a case of Crashing Blood pressure? (Peptic ulcer bleed)
Grey IV cannula insertion (orange ideally)
fluid bolus
massive Transfusion Protocol
Hemodynamic Stability achieved
upper GI Endoscopy + cautery
what are the Drugs that causes Drug induced gastritis?
Cox-1inhibitors
Indomethacin, ketorolac
what type of gastritis is seen in Drug induced gastritis?
Erosive gastritis
non erosive gastritis caused by H. pylori
A patient is presented with Cheif compliant of Hematemesis and on examinationHe had splenomegaly
what is the provisional diagnosis?
Portal Hypertension
If patient of Pediatric age group presents with similar compliants
we must have to Think about EXTRA HEPATIC PORTAL VEIN OBSTRUCTION (EHPVO)
what is source of Bleeding in Hematemesis due to Portal Hypertension?
Esophageal collaterals with gastric veins (coronary veins)
what is the leading cause of Portal Hypertension?
Alcholic cirrhosis
what is most common cause for Liver damage in patient with History of No viral markers non alcholic & Non metabolic cause?
Cryptogenic cirrhosis / Non-Cirrhotic Portal fibrosis
what is drug used in managing non-bleeding esophageal varices?
propranlol
propranolol uses
-non bleeding oesophageal varices
- Prophalaxis of migrane
- Hypertrophic cardiomyoPathy
what Drug is used in managing Bleeding oesophageal varices?
Infusion of octreotide > Terlipressin
what is treatment of choice in Hematemesas due to Portal Hypertension?
upper GI Endoscopy + Sclerotherapy
what is the most primary site of tear Mallory weiss syndrome?
Lower oesophageal sphincter (strats from cardio part of stomach and goes to Lower esophageal spincter)
what types of stains are used to demonstrate Helico bacter pylori ?
warthin starry stain
Steiner Stain
what type of gastritis is seen in PUD Due to Helicobacter Pylori infection?
Type B Gastritis
what Triple therapy in managing PUD due to H.pylori infection?
Proton Pump Inhibitors for 4-6 weeks
Clarithromycin & Amoxicillin for 2 weeks
what is quadruple therapy in PUD management Due to H- pylori infection?
Proto Pump Inhibitors
tetracyclines
metronidazole
Bismuth ( Reduces the acid mucosa contact time by acting as surface Protective agent & Helps in Healing of ulcers
Blaksh Discloration of tongue is seen )
what is Hybrid therapy in managing PUD Due to Helico bacter pylori ?
Proton Pump Inhibitors & Amoxicillin for 7 days
Proton pump Inhibitors & Amoxicillin & clarithromycin & Nitroimidazole for 7 days
what is Load therapy used in management of PUD Due to H-Pylori Infection?
Levofloxacin & omeprazole & Alina (Nitazoxanide) & Doxycycline
