Term
| 5 risk factors for higher occurrence of peptic ulcer disease? |
|
Definition
1) Age
2) Male
3) H.pylori infection
4) NSAID use
5) stress |
|
|
Term
| What percentage of people with H. pylori develop infections? |
|
Definition
|
|
Term
| Where do NSAID ulcers typically occur? |
|
Definition
|
|
Term
| What is the most important mechanism for NSAID ulcer formation? |
|
Definition
|
|
Term
| What percentage of NSAIDS are ulcerogenic and when is the greatest risk? |
|
Definition
1) All are ulcerogenic
2) between 7 and 30 days of therapy |
|
|
Term
| what is the tx for H. pylori? |
|
Definition
OCLAM
1) O-omeprazole
2) CL-Clarithromycin
3) AM-Amoxicillin |
|
|
Term
| What develops in 95% of patients with gastrinoma? |
|
Definition
|
|
Term
| What are acute stress ulcers common with? |
|
Definition
serious medical/surgical conditions
1) head injury
2) burn injury
3) majory surgery
4) life-threatening illnesses |
|
|
Term
| Pain description for peptic ulcers |
|
Definition
1) epigastrium
2) gnawing/burning
3) relieved by eating |
|
|
Term
| What is peptic ulcer disease the most common cause of? |
|
Definition
|
|
Term
| What is typically seen in patients with a bleeding ulcer? |
|
Definition
| azotemia w/BUN/serum creatine ratios >20:1 |
|
|
Term
| What is the most accurate test for peptic ulcer diagnosis? |
|
Definition
| endoscopy-100% specificity, >90% sensitivity |
|
|
Term
| What should you give for people with non-H. pylori duodenal ulcers? |
|
Definition
|
|
Term
| What will usually heal an ulcer that has failed to heal? |
|
Definition
| increasing dosage of antisecretory or prolonging its course |
|
|
Term
| What is the most common cause of ulcer recurrences? |
|
Definition
|
|
Term
| what is the most effective treatment for complicated bleeding ulcers? |
|
Definition
| thermal application for cautery after volume stabilization |
|
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