GASTRIC and DUODENAL ULCER

Question 1

causes of gastric ulcer

Answer 1

Helicobacter pylori
overuse of nsaids and aspirin

Question 2

s/sx of gastric ulcer

Answer 2

• pain 1-2 hrs after meals
• abdominal pain aggravated by eating
• vomiting
• weight loss
• hematemesis if hemorrhage occurs

Question 3

treatment for gastric ulcer

Answer 3

• treat H. pylori infection ( ANTIBIOTICS)
• reduce stomach acid
  ( PPI, H2 RECEPTOR BLOCKER)

Question 4

causes of duodenal ulcer

Answer 4

H. pylori
NSAIDs
Aspirin
irritants

Question 5

s/x of duodenal ulcer

Answer 5

• pain 2-4 hrs after meals
• food may relieve pai
• weight gain
• melena if hemorrhage occurs

Question 6

treatment for duodenal ulcer

Answer 6

same sa gastric ulcer

Question 7

incidence of duodenal ulcer

Answer 7

age 30-60
80% of peptic ulcer

Question 8

incidence of gastric ulcer

Answer 8

age 50 and over
15% of peptic ulcer

Question 9

hypersecretion of HCL

Answer 9

duodenal ulcer

Question 10

Normal to hyposecretion of HCL

Answer 10

gastric ulcer

Question 11

pain occurs 2-4 hrs after meal

Answer 11

duodenal ulcer

Question 12

pain occurs 30mins- 1hr after meals

Answer 12

gastric ulcer

Question 13

weight gain

Answer 13

duodenal

Question 14

weight loss

Answer 14

gastric

Question 15

vomiting uncommon

Answer 15

duodenal

Question 16

vomiting common

Answer 16

gastric

Question 17

hemorrhage less likely to occur

Answer 17

duodenal

Question 18

hemorrhage most likely to occur

Answer 18

gastric

Question 19

melena most likely to occur

Answer 19

duodenal

Question 20

hematemesis more likely to occur than melena

Answer 20

gastric

Question 21

relieved by eating

Answer 21

duodenal

Question 22

aggravated by eating

Answer 22

gastric

Question 23

malignancy possibility

RARE

Answer 23

duodenal

Question 24

malignancy possibility

OCCASIONALLY

Answer 24

gastric

Question 25

Assesment and diagnostics (gastric and duodenal)

Answer 25

• Achlorhydria or hypochlorhydria (Absence or low levels of HCI) • Can be determined by an upper GI series or endoscopy • Tissue specimen (Biopsy)

Question 26

medical management (gastric and duodenal)

Answer 26

• H2 blockers • Antibiotics (Amoxicillin, Clarithromycin) • Proton Pump Inhibitors

Question 27

surgical management (gastric and duodenal)

Answer 27

• Gastrojejunostomy - Anastomosis of jejunum to stomach to detour around the pylorus.

Question 29

nursing management (gastric and duodenal)

Answer 29

• Avoidance to gastric irritating agents ü Alcohol ü Spicy ü Fatty foods ü Aspirin ü NSAID's until symptoms subside.

Question 30

indicators of hemorrhagic gastritis

Answer 30

hematemesis tachycardia hypotension