Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
41 Cards in this Set
- Front
- Back
|
causes of gastritis
|
overuse of asprin, NSAID
alcohol, irritating food bile reflux radiation therapy |
|
|
pyloric stenosis
|
Pyloric stenosis is a narrowing of the pylorus, the opening from the stomach into the small intestine. Symptoms: Vomiting is the first symptom in most children.
Result of scarring. |
|
|
acute gastritis can develop in
|
injuries
burnes infection hepatic renal respiratory failure surgery |
|
|
gastritis may be first sign of
|
acute systemic infection
|
|
|
bacteria of chronic gastritis
|
h.pylori
|
|
|
chronic gastritis can be result of
|
pernicious anemia
bisphosphonate Fosamax or Actonel smoking, alcohol reflux of bile to stomach |
|
|
gastric mucus in gastritis is
|
edematus
hyperemic congested with fluid and blood erosion |
|
|
what gastric mucus secrets
|
scanty amount of gastric juice little acid
a lot of mucus result in superficial ulceration and hemorrhage |
|
|
symptoms of acute gastritis
|
abdominal discomfort
headache N/V hiccups sour taste malabsorption of Vit B12 |
|
|
diagnostic finding in gastritis
|
achlorhydria
hypochlorhydia or hyper low level of hydrochloric acid HCI |
|
|
what neutralizes acids
|
aluminium hydroxide antiacids
lemon juice vinegar |
|
|
therapy for gastritis
|
NG tube
analgesic agents sedatives IV fluids 5% dextrose |
|
|
hemorrhagic gastritis signs
|
hematemesis vomit with blood
tachycardia hypotension |
|
|
peptic ulcer forms in
|
stomach
pylorus opening between stomach and duodenum more often in duodenum |
|
|
peptic ulcer can be caused by
|
acid secretion HCI
bacteria H.pylori form food and water emesis |
|
|
signs of duodenal ulcer
|
hyper secretion of HCI more acid
weight gain 2 h after meal pain pain at 2am at night ingesion of food relieves pain no vomits cirrhosis risk factor |
|
|
signs of gastric ulcer
|
normal or hypo HCI, less acid
weight loss pain 1/2 -1h after meal not at night relieve by vomiting eating doesn't help hematemesis pain in the back pain right to midline |
|
|
what use of NSAIDS causes
|
inhibits the secretion of mucus a barrier against HCI
|
|
|
peptic ulcer is found in pt with tumor
|
ZES - Zollinger Ellison syndrome peptic ulcer
hyper acidity |
|
|
ZES is suspected when?
|
peptic ulcer resistant to medications
gastrinomas in pancrease islet cell tumors |
|
|
Signs of ZES
|
diarrhea
steatorrhea fat hypercalcemia epigastric pain #1 H.pylori is not a risk for ZES |
|
|
Stress ulcer occurs after
|
burns
shock sever sepsis multiple organ trauma ventilator dependent pt's after surgery |
|
|
stress ulcer signs
|
shallow erosion to stomach
ulcer spreads with stress' when no stress it is reversed pepsins are released ischemia acids pepsin |
|
|
Cushing ulcer
|
head brain injury
esophagus duodenum deeper then stress ulcer |
|
|
Curling ulcer
|
after burn
antrum of stomach or duodenum |
|
|
pyrosis
|
burning heartburn of esophagus or stomach that is empty
|
|
|
signs of peptic ulcer
|
constipation
diarrhea bleeding rare vomiting melena |
|
|
melena
|
tarry stools
|
|
|
diagnostic tests
|
stools negative for blood
gastric secretory endoscopy rapid urease test serologic test for antibodies of h.pylori urea breath test |
|
|
medication for peptic ulcer
|
antibiotics Flagyl Amoxil
proton pomp inhibitor Prevacid bismuth salt Pepto Bismo |
|
|
Histamine 2 H2 receptor and proton pump is also used for
|
treat NASAIDs ulcer not h.pylori
stress ulcer |
|
|
perforation symptoms
|
back and epigastric pain
right shoulder pain phrenic nerve vomiting fainting hypotension tachycardia shock elevated temperature increase heart rate lavaged drain stomach content before surgery ASAP |
|
|
pyloric abstraction=gastric outlet abstraction
symptoms |
area distal to pyloric sphinister becomes scarred edema
N/V constipation epicastric fullness anorexia weight loss |
|
|
treatment of pyloric abstraction
|
NG tube to decompress stomach
residual more then 400 mL suggests obstraction baloon dialation vegotomy anteroctomy |
|
|
gastric surgery pyloroplasty
|
transecting nerves that stimulate aci secretion and opening of pylorus
|
|
|
Vegotomy
|
severing of vagus nerve decrease gastric acid
|
|
|
pylorus is
|
act as a barrier to the reflux of duodenal content
vomiting of bilious material |
|
|
dumping syndrome signs
|
fullness
weaknss, faintness, palpitation, diaphoresis, cramps, diarrhea go away after evacuation, anorexia raise in blood glucose increase of insulin secretion hypoglycemia steatorrhea- imodium |
|
|
vitamine deficiencies
|
iron
b12 injections no fluid with meals more dry items low carbs |
|
|
Upper GI is
|
is a series of x-rays taken after you drink a thick substance called barium.
|
|
|
A peptic ulcer is a
|
defect in the lining of the stomach or the first part of the small intestine, an area called the duodenum.
A peptic ulcer in the stomach is called a gastric ulcer. An ulcer in the duodenum is called a duodenal ulcer. |
