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disease, inflam.
inflammatory disease processes
Question | Answer |
---|---|
clinical presentation of GERD | dyspepsia, hypersalivation, eructation, flatulence, dysphagia,odynophagia, chronic cough, asthma, atypical chest pain,bloat ,N, V |
Why does GERD happen? | incompetent lower esophageal sphincter |
risk for GERD | obesity, genetics, NG tube, meds, certain foods, pregnancy, large meals, acidic food, bending over, eating late |
meds for GERD | antacids, histamine receptor antagonists, PPIs, prokinetic drugs |
peptic ulcer disease (PUD) etiology? | acid, pepsin, H. pylori all play a role in causing PUD. Also chronic high dose of NSAIDs has been implicated. stress is a factor as well. |
clinical signs of PUD? | burning, gnawing, sharp epigastric pain. |
complications of PUD? | peritonitis if ulcer eats thru stomach wall into abdomen. |
complications of ulcers: | hemorrhage/perforation/pyloric obstruction/intractable disease |
H. pylori treatment: | two choices are Metronidazole and tetracycline. or clarithromycin and amoxicillin. the 2 things are not interchangeable. |
PPIs: | end in "zole". they reduce gastric acid secretion. |
H2receptor antagonists: | block histamine stimulated gastric secretion. can be used for indigestion and heartburn. block action of H2 receptor of the parietal cells thus inhibiting HCl secretion. end in "dine". |
prostaglandin analogues: | reduce gastric secretion and enhance gastric mucosal resistance to injury. can be used to protect stomach lining. ex. Cytotec helps stop NSAID induced ulcers. do not use in pregnant patn. |