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6 Cards in this Set
- Front
- Back
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Non-pharmacological management of PUD
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1. smoking cessation
2. Avoid NSAIDs |
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How long to continue acid suppression therapy (PPI) in PUD
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4-8 weeks including the time taken for H pylori treatment
4 weeks for duodenal ulcer 8 weeks for gastric ulcer |
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When is a repeat endoscopy indicated?
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In patients with gastric ulcers in order to ensure the ulcer has healed and is not due to a carcinoma
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Standard treatment for H pylori
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Triple therapy for 7 days
1. esomeprazole 20mg bd 2. amoxycillin 1g bd 3. clarithromycin 500mg bd |
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What is a true allergy?
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Hypersensitivity reaction within an hour of dosing or a severe rash
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Circumstances of H pylori related PUD that requires special consideration?
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1. gastric ulcer because the risk of malignancy
2. duodenal ulcers >1cm or are complicated by bleeding or perforation Recommendations 1. confirm eradication 2. repeat endoscopy 3. longer duration of acid suppression treatment |
