Term
|
Definition
| GERD, PUD, functional (non-ulcer) dyspepsia, gastric cancer, pancreatitis |
|
|
Term
|
Definition
H.Pylori Infection
Pharmacological (NSAIDs, asprin, warfarin)
Physiological Stress
Smoking |
|
|
Term
| How is PUD pain described |
|
Definition
| Episodic or recurrent epigastric "aching' gnawing, hunger-like |
|
|
Term
|
Definition
Asthma, pharyngitis, chronic cough
Esophagitis
Peptic strictures
Barret's esophagitis (squam dysplasia, can lead to adenocarcinoma) |
|
|
Term
|
Definition
| Hemorrhage, perforation, gastric outlet obstruction syndrome |
|
|
Term
| Alarm symptoms in dyspepsia |
|
Definition
| dysphagia, hematemesis, hematochezia, recurrent vomiting, weight loss, iron def anemia, early satiety, onset >55 years, |
|
|
Term
| Epigastric pain in pancreatitis ______ w food |
|
Definition
worsens
-stabbing pain, radiates to the back |
|
|
Term
|
Definition
| Upper GI series (can be useful), 24 hour pH probe, FIT (or FOBT), CBC, H Pylori testing (IgG serologic test (cheap), Urea breath test (reflects current infection, not accurate during PPI), Fecal antigen testing (expensive, but accurate)) |
|
|
Term
|
Definition
1) Test and treat w/ H2 blocker or PPI
2) Refer for upper endoscopy if alarm symptoms present
3)lifesyle modifications |
|
|
Term
| Functional dyspepsia management |
|
Definition
1) similar to those in PPD
2) TCA after HPylori is ruled out |
|
|
Term
|
Definition
PPI triple therapy (PPI+ Macrolide + amox)
PPI triple alt. therapy (PPI+ Macrolide+Metranidazole)
PPI quadruple therapy (PPI/H2+tetracycline+Metronidazole+ Bismuth subsalicylate)
follow w fecal antigen test: if +, use salvage therapy, if - upper endoscopy and mucosal biopsy |
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