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GERD and Peptic Ulcer Disease
Block I Mat.
24
Medical
Graduate
01/11/2011

Additional Medical Flashcards

 


 

Cards

Term

What is the prevalence of heartburns among Americans monthly? weekly? daily?

 

Definition
44%, 20%, and 7%
Term
What is the baseline pressure at the lower esophageal sphincter?
Definition
20 mm Hg
Term
What's the prevalence of the hiatal hernia
Definition
15%
Term
What percentage of GERD patients have TLESR as their primary mechanism?
Definition
66%
Term
T or F: H. pylori exacerbates GERD
Definition
False- It has a protective effect
Term
What % of GERD patients actually have an erosive esophagitis condition?
Definition
34%
Term
What is the most commonly accepted definition of gastroesophageal reflux?
Definition
sudden decrease in intraesophageal pH to below 4.0, with the nadir pH being reached within 30 seconds from the beginning of the drop
Term
What is the extent of healing reflux esophagitis directly related to?
Definition
the duration of intragastric pH> 4
Term
What is the primary mechanism of H2 blockers in reducing gastric acid secretion?
Definition
They inhibit the signal transduction that leads to the secretion of HCl into the gastric lumen
Term
Ulcers beyond the bulb of the duodenum are commonly due to what disease?
Definition
Zollinger Ellison
Term
What is the causal agent of peptic ulcer disease?
Definition
Helicobacter pylori
Term
With pan-gastritis, do you have a bigger risk of getting a gastric ulcer or a duodenal ulcer?
Definition
gastric ulcer
Term
What is the advantage of Cox2 NSAID's over regular NSAID's?
Definition
They avoid prostaglandin synthesis that mediates inflammatory and tissue damage processes.
Term
What is the common age onset for individuals with IBD?
Definition
between 15 and 40
Term
Smoking may be a protective in which IBD?
Definition
Ulcerative Colitis
Term
Moderate UC entails involvement of the colon up to what point?
Definition
the splenic flexure
Term
At what point does UC necessitate blood transfusion?
Definition
When it's considered severe-- extensive colonic involvement with daily bloody stools
Term
For moderate UC disease, what's the state of the abdomen and fever status?
Definition
there's abdominal pain, but it's not severe/ there is little to no fever
Term
Does UC typically have a sudden or gradual presentation?
Definition
gradual/ PE is often times normal
Term
What are three common extra-intestinal presentations of UC?
Definition
sclerosing cholangitis, uveitis, and erythema nodosum (there are others like ankylosing spondylitis and more)
Term
What is the only biologic approved for UC?
Definition
remicade (infliximab)
Term
What percentage of CD cases have involvement of the small bowel?
Definition
80%
Term
What effect does CD have on overall life expectancy?
Definition
At worst, there is only a modest reduction
Term
What sort of agents do we use to treat fistulas in CD?
Definition
anti-TNF antibodies
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