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28 Cards in this Set
- Front
- Back
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type 1 gastric ulcers are located at ___, are ___% of gastric ulcers, and are/aren't acid related
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lesser curvature near incisura
60 aren't |
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type 2 gastric ulcers are located at ___, are ___% of gastric ulcers, and are/aren't acid related
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duodenum & body
15 are |
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type 3 gastric ulcers are located at ___, are ___% of gastric ulcers, and are/aren't acid related
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prepylorus
20 are |
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type 4 gastric ulcers are located at ___, are ___% of gastric ulcers, and are/aren't acid related
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near GE junction
<10 aren't |
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pain of duodenal ulcer is made better/worse by food
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better
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sx of duodenal ulcer perforation (4)
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fever
tachycardia dehydration ileus |
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sx of duodenal ulcer perforation have insidious/abrupt onset
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abrupt
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tx for duodenal ulcer perforation (2)
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IVF
prompt operation |
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electrolyte disorder in obstruction from duodenal ulcer
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hypokalemic hypochloremic metabolic alkalosis
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tx for obstruction from duodenal ulcer (4)
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IVF
NPO NGT suction manage electrolytes |
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___ is most common complication of gastric ulcer
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perforation
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gastric ulcer perforation is usually at ___
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anterior aspect of lesser curvature
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bleeding from gastric ulcer is most common in type ___ (2)
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2
3 |
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obstruction from gastric ulcer is most common in type ___ (2)
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2
3 |
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diagnosis of PUD is done with ___, unless ___
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EGD
perforation is suspected |
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3 components of medical tx for PUD
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antacids/PPIs
HP eradication removal of NSAIDs |
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if HP eradication fails to improve ulcers, check ___ to exclude ___
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gastrin levels
Zollinger-Ellison |
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indications for surgery
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intractablitiy
hemorrhage obstruction perforation |
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___ is the surgery indicated for all manifestations of duodenal ulcers, except ___ for which ___ is the surgery
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highly selective vagotomy
hemorrhage truncal vagotomy with pyloroplasty |
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first-choice pyloroplasty is ___
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heineke-mikulicz
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in case of duodenal ulcer with obstruction, add ___ (2) to surgery
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gastrojejunostomy
exclude malignancy |
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nerves cut in HSV are branches of ___
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anterior nerve of latarjet
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For types 1, 2 and 3, ___ is the operation for obstructing gastric ulcers
___ should be ruled out |
antrectomy with vagotomy
malignancy |
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for type 1, do ___ for intractability, hemorrhage & perforation in a stable patient
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distal gastrectomy with billroth I
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for type 1, with perforation in an unstable patient, do ___ (2)
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graham patch
treat HP |
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for types 2 & 3, for intractability and hemorrhage, do
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distal gastrectomy with billroth I
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for types 2 & 3, for perforation, do
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graham patch
treat HP |
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intractability means
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failure to heal after 8--12 weeks of tx
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