Gastritis Flashcards Preview

Conditions: GI > Gastritis > Flashcards

Flashcards in Gastritis Deck (11):
1

What are the 3 types of Gastritis? (A, B and C)

A - Autoimmune
B - Bacterial
C - Chemical

2

What is gastritis?

Inflammation of gastric mucosa

3

What cells are targeted by autoimmune gastritis?

Parietal cells

4

What bacteria can cause bacterial gastritis?

H Pylori

5

What causes chemical gastritis?

Bile

NSAIDs

6

What are ALARM symptoms?

A - Anorexia
L - Loss of weight
A - Anaemia
R - Recent onset
M - Meleana or haematemesis

THESE APPLY TO ALL THE DIFFERENTIALS OF DYSPEPSIA

7

Investigations?

History + exam
Endoscopy (follow protocol)

FBC
CRP
Coeliac serology (IgA)

Ferritin levels (alarm features)

8

What is the protocol for endoscopy with Gastritis?

Any ALARM symptoms

>55yrs

9

Treatment?

Follow dyspepsia protocol
- New dyspepsia = simple antacids

- Symptoms persist = H.Pylori test (urea breath test)

- H. Pylori negative = PPI (omeprazole
- H. Pylori positive = H.Pylori eradication therapy

Review at 4 weeks

- If symptoms persist for H. Pylori negative then do eradication therapy

10

What is H. Pylori eradication?

Triple therapy
- PPI
- Amoxicillin
- Clarithromycin

11

Complications of gastritis?

Can lead to ulcers