Peptic ulcer Flashcards
1
Q
Bacteria that is most commonly associated with peptic ulcers?
A
Helicobacter pylori
2
Q
Rare syndrome that can cause peptic ulcer disease?
A
Zollinger-Ellison syndrome
Characterised by:
* Excessive levels fo gastrin
3
Q
Pain in duodenal ulcers vs gastric ulcers?
A
Duodenal- epigastric pain relieved whilst eating
Gastric- epigastric pain worsened by eating
4
Q
Treatment of peptic ulcer if h.pylori negative?
A
PPI e.g. omeprazole
5
Q
Test for H.pylori?
A
Urea breath test and stool antigen test
6
Q
Pharmacological treatment of H.pylori?
A
PPI + amoxicillin 1g+ clarithromycin 500 mg or matronidazole 400 mg
7
Q
Type of x-ray and what will it show in peptic ulcer?
A
Erect chest x ray
If perforated will have free air under the diaphragm
