Gastric Disorders

Question 1

-Indigestion due to food intolerance, GI tract dysfunction -Dyphagia -Vast majority not related to H pylori -If >55 endo; if

Answer 1

(Non-ulcer) dyspepsia

Question 2

-Mucosal break due to H pylori -Gram (-) bacteria -Gastric worse p food, duodenal 2-3 p food -Dyspepsia, bleeding, pain, N/anorexia -PPI & (choose 2) clarithro, amox or metronidazole

Answer 2

H pylori PUD

Question 3

-Often related to H. pylori infx -Initial, transient illness leads to N/V/dyspepsia -Upper endo; UBT -Tx H pylori

Answer 3

Nonerosive/nonspecific Gastritis

Question 4

-Autoimmune disorder involving fundic glands, resulting in decreased intrinsic fator and B12 absorption -Macrocytic anemia -Endoscopy w/ biopsy

Answer 4

Pernicious anemia gastritis

Question 5

-Common in alcoholics, NSAID users, critically ill -Epigastric pain, N/V, dyspepsia, -Upper GI bleed, hematameiss -Upper endo -PPIs; H2 blockers

Answer 5

Erosive/hemorrhagic gastritis

Question 6

-Most commonly adenocarcinoma

Answer 6

Gastric malignancies

Question 7

-Delayed emptying due to damage to vegus nerve from high BS levels -N/V 1-3hrs p meal, reflux, distention, bloating -Endoscopy -Management for quality of life

Answer 7

Diabetic Gastroparesis

Question 8

Stomach up through diaphragm. often asymptomatic

Answer 8

Hiatial Hernia

Question 9

-Gastrinoma results in hypersecretion of acid. -Dyspepsia/Abd pain -Serum gastrin

PPIs Resection of gastrinoma

Answer 9

Zollinger-Ellison Syndrome

Question 10

-Dyspepsia, bleeding, pain -Due to longterm, high does NSAIDs -NSAIDS inhibit prostaglandins which decreases bicarb and mucus production -Stop offending agent, add PPI

Answer 10

NASAID induced PUD