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15 Cards in this Set
- Front
- Back
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s/s oesophageal carcinoma
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dysphagia (solids>liquids)
weight loss bleeding pain (epigastric or retrosternal) hoarseness (invasion of recurrent laryngeal nerve) persistent cough aspiration of undigested food |
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prognosis of oesophageal ca
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operative mortality 10%
stage I&II: 65- 85% (5yr) stage III: 15-28% (5yr) |
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s/s reflux eosophagitis
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heartburn
belching acidbrash (regurg acid) waterbrash (regurg water) odynophagia nocturnal asthma haematemesis melena |
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mgt reflux eosophagitis
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lifestyle
drugs: PPI (once confirmed by endoscopy) sx (only if very severe symptoms) |
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s/s carcinoma of stomach
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asymptomatic till late in course
weight loss abdo pain anorexia vomiting altered bowel habits haemorrhage dysphagia anaemia |
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prognosis carcinoma of stomach
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early: 90-95% (5yr)
late: 15% (5yr) |
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s/s gastritis
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asymptomatic
variable epigastric pain, nausea + vomiting overt heamorrhage massive haematemesis melena potentially fatal blood loss |
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mgt gastritis
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depends on eitiology
anatacids: symptom control H2 blockers PPIs triple therapy |
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s/s peptic ulcer disease
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pain relieved by food, epigastric gnawing, burning or aching pain
nausea+vomiting bloating belching wt loss |
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mgt peptic ulcer disease
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lifestyle: STOP NSAIDS
triple therapy: PPI+ clarithromycin + amoxicillin or metranidazole |
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s/s duodenal carcinoma
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abdo pain
acid reflux weight loss n+v chronic GI bleeding obstructive jaundice |
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prognosis duodenal carcinoma
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65% (5yr)
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what is hereditary telangiectasia
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Osler-Weber-Rendu disease
HHT mutation leads to genetic malformations consisting of dilated capillaries and viens |
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s/s hereditary telangiectasia
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small red-violet telangiectatic lesions
serious nosebleeds into gut pulmonary ateriovenous fistulas-> dyspnea, fatigue, cyanosis, polycythemia |
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triple therapy
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PPI+ clarithromycin + amoxicillin or metranidazole
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