GI

Question 1

investigations for suspected H.Pylori

Answer 1

not one 1st line
-stool helicobacter antigen test
-lab based serology
-urea 13C breath test

Do not do urea 13C breath test if- within 2 weeks of treatment with PPI or within 4 weeks of antibiotic treatment

Question 1

mangement for H. Pylori

Answer 1

1st= PPI + amoxicillin + clarythromycin OR metranidazole

2nd= same again but use whichever agent not used

penicillin allergic= PPI + clarythromycin + metranidazole

retest in >4 weeks with Urea 13C breath test

Question 2

what investigation is used to check for H.pylori erradication

Answer 2

urea 13c breath test

-but should not be performed <2 weeks PPI or <4 weeks antibiotic treatment

Question 3

C diff causing drugs

Answer 3

Clyndamicin

Cephalosporins (cephalaxin, cefiximine)

Carbamepans (meropenem)

Ciprofloxacin (and other quinolones)

Coamoxiclav