GERD
THE 3 MAJOR SYMPTOM OF GERD.
What is HEARTBURN, REGURGITATION, AND DYSPHAGIA?
Stae 3 complications of diverticulitis.
What is an abscess, fistula (the connection between 2 things that should not be connected), obstruction, bleed, or perforation?
2 common causes of PUD.
1. Helicobacter pylori infection (95% of DU and 85% GU)
2. NSAID intake
(NSAIDS & ETOH exacerbate, or worsen, PUD of H. pylori origin)
What is:
1. Helicobacter pylori infection (95% of DU and 85% or GU)?
2. NSAID intake?
(NSAIDs, ASA, & ETOH exacerbate, or worsen, PUD of H. pylori origin)
The class of drugs works best for the treatment of occasional heartburn.
What are Antacids?
Signs and symptoms of bowel obstruction.
What is colicky pain (the pain comes in waves) that later becomes constant and severe with ischemia? What is abdominal distention, vomiting bile, or vomiting feces? What is constipation, F&E disturbances (hypokalemia, ketosis, alkalosis than acidosis), hypotension, tachycardia, fever, and leukocytosis with necrosis?
HOW WE DEFINITIVELY DIAGNOSE GERD.
What is ENDOSCOPY?
State 4 risk factors for the development of diverticulitis.
What are age, genetics, obesity, smoking, diet, sedentary lifestyle, ASA & NSAIDS, high-fat diet, & too little fiber?
An important differential dx for PUD is:
What is ZOLLENGER-ELLISON syndrom
Zollinger-Ellison syndrome is a rare digestive disorder that results in too much gastric acid. This excess gastric acid can cause peptic ulcers in your stomach and intestine. Symptoms include abdominal pain, nausea, vomiting, weight loss, and diarrhea. If left untreated, there can be serious complications.
State 3 common medications used in the treatment of GERD & PUD.
What are PPIs, H2RAs, & antacids?
The pharmacologic agents used in the treatment of PUD; H2RAs, PPIs, cytoprotectives (Misoprostol), coating agents (sucralfate), antacids PRN.
Drug class of choice for high-dose acid inhibition in PUD.
What are PPIs?
PPIs should be taken daily, on an empty stomach, and 30mins before breakfast.
State 5 foods to avoid with GERD.
What are carbonated beverages, coffee, caffeinated beverages, peppermint, chocolate, citrus, and spicy foods?
Signs and symptoms of diverticulitis.
What is cramping, pain, diarrhea, constipation, anorexia, distension, and flatulence? If it progresses fever, LLQ tenderness, blood in stools, and rebound tenderness.
Transmission of H. pylori.
What is contact with an infected person (fecal to oral or oral to oral) or contaminated food or water?
The medication used for PUD that is contraindicated in pregnancy.
What is Misoprostol?
This medicine works by helping the stomach protect itself against acid damage and decreasing the amount of acid produced by the stomach.
Non-pharmacologic measures in the treatment of PUD
What are reduce stress, smoking cessation, d/c NSAIDs if possible, avoid spicy foods or beverages, alcohol, and coffee?
Medical treatments for GERD.
What are ANTACIDS, H2, PPI AND PROKINETICS?
This is the primary diagnostic test for diverticulitis.
What is a CT scan?
This type of PUD has greater association with malignancy.
What is GASTRIC ulcer?
Name a cytoprotective med:
What is CARAFATE?
This form of PUD is relieved by eating.
What is DUODENAL ulcer?
5 MAJOR CAUSES OF GERD?
What is INEFFECTIVE ESOPHAGEAL CLEARANCE, LES DYSFUNCTION, HIATAL HERNIA, INCREASED ABDOMINAL PRESSURE, AND DELAYED GASTRIC EMPTYING?
White bread, white rice, white pasta, butter or dairy products, potatoes, and canned vegetables are all examples of this.
What are low-fiber foods?
Diverticulitis requires a low fiber diet, whereas diverticulosis requires a high fiber diet.
Quadruple therapy regimen for H pylori.
What is a PPI, Bismuth subsalicylate QID, Metronidazole TID or QID, Tetracycline QID?
The drug inhibits pepsin, binds bile salts, and stimulates mucus production in PUD.
What is Sucralfate?
The medication used for PUD that is contraindicated in pregnancy.
What is Misoprostol?