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9 Cards in this Set
- Front
- Back
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Pelpic Ulcer Disease Cause
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H. Pylori
Inflammatory meds/ NSAIDS Smoking |
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Signs/symptoms
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Indigestion
Abdominal burning Hunger pain 1-3 hrs after meals or in the middle of the night which is relieved by food or ant acids |
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Diagnosis
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Upper GI barium enema or Endscopy
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Complications of Ulcers
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Gastric bleeding
Ulcer perforation Gastric obstruction Pts with bleeding ulcers may report black tarry stools, weakness, orthostatic synocope, andhematemesis |
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Peforated Uler
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Leads to leakage of stomach and intestinal contents into the abdominal cavity resulting in acute peritonitis. Sudden onset of extreme abdominal pain whichis worsened by any type of motion
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Gastric obstruction causes
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Increasing abdominal pain
Nausea/ Vomiting Diminished appetite Wt loss |
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Location
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Usually at or near the pyloric canal
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Treatment
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NG tube for 72 hrs
IV anti ulcer meds H2 Blockers (tagament / Zantac) Antibiotics to treat H. pylori ( tetracycline, moxicilin, flagyle, biaxin, levaquin Surgery Maalox (cause diarrhea) AMphojel (cause constipation) Proton pump inhibitors (prilosect prevacid protonix nexium aciphex) |
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Diet
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small meals 5x day
Fiber rich low fat low spice ;ow citrus low caffeine No fried foods |
