Peptic Ulcers

Question 1

how to tell the difference between duodenal ulcers + stomach ulcers

Answer 1

Food alleviates pain ==> Duodenal

Food causes pain ==> Stomach

Question 2

Epi of peptic ulcers (2)

Answer 2

M > F

mainly 60+

Question 3

What are the 2 main causes of Peptic ulcer formation

Answer 3

NSAIDS (aspirin + Ibuprofen)

H.pylori

Question 4

What do the causes of peptic ulcers break down

Answer 4

Mucousal barrier ==> ulcer on Muscularis mucousa

Question 5

where is the pain in peptic ulcer (how is it like)

Answer 5

epigastric pain thats burning

Question 6

5 symptoms of peptic ulcers

Answer 6

Nausea

Indigestion

melaena

Weight loss

Heartburn

Question 7

5 main risk factors of peptic ulcers

Answer 7

60+

smoking

Alcohol

Chronic use of NSAIDS

Co-morbidities (HTN / diabetes)

Question 8

if positive for H.pylori, what is the drug treatment

Answer 8

Triple therapy (2AB + PPI)

Question 9

if negative for H.pylori, what is the drug treatment

Answer 9

PPI + H2 Receptor Antagonist (ranitidine)

Question 10

Urgent endoscopy is given in a px who presents with

Answer 10

dysphagia ==> could indicate bleed ALARMS

Question 11

What are the 3 main complications of peptic ulcers

Answer 11

Anaemia ==> Breathlessness

Peritonitis via perforation

Gastric Outlet Obstruction ==> Inflammation via ulcer blocking pylorus