PUD and GERD Flashcards
(9 cards)
1
Q
What is the most common cause of PUD
A
H.pylori and NSAID use
2
Q
What are some other common causes of PUD
A
- smoking
- neoplasia
- infection
- acid-hypersecretion
- ischemia (if on illicit drugs)
3
Q
What does dyspepsia mean
A
- burning sharp pain
- regurgitation
4
Q
what is the difference in presentation in duodenal ulcer and pyloric channel ulcer pain
A
duodenal ulcer pain comes 2-5 hours after a meal and worse at night. Pyloric channel ulcer pain may have food provoked symptoms
5
Q
what are some other red flags to ask for dyspepsia
A
- LOW/LOA
- odynophagia
- family history of GI cancer
- persistent vomiting
- jaundice
6
Q
What blood test would you want to do when you are suspecting upper GI bleed
A
urea
7
Q
what is the treatment for H.pylori
A
triple therapy (amoxicillin, clarithromycin and omeprazole) or quadriple therapy (tetracycline, metronidazole, bismuth, omeprazole)
8
Q
What are some common complications of GERD
A
- esophagitis
- barrett esophagus
- esophageal cancer
- esophageal stricture
9
Q
What are some conditions that can increase the risk of GERD
A
- overweight
- delayed gastric emptying
- pregnancy
- scleroderma (autoimmune condition)
