BIOL 3051 Chapter Notes - Chapter 9.2: Peptic Ulcer, Calcium Channel Blocker, Esophagogastroduodenoscopy
24 Apr 2020
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Years of age nal mass ined weight loss or h. pylori infection; occasionally for abdominal pain. Pud is suspected in patients with dyspepsia, especially with history of nsaids use. Drug history nsaid or asa (including low-dose asa) use + other medications that may. Stool (+) for occult blood (likely positive for anyone on an nsaid) Physical exam epigastric tenderness (common but non-specific finding) Upper endoscopy (most accurate) ogd (visualization - pillcam) diagnostic tool to. Not needed for everyone, but those with red flags/alarm symptoms. Investigations for h. pylori infection infection; tissue culture or pcr: pylori vs nsaid induced pud, pylori. If ulcer <1cm: 4-6 weeks of ppi; if >1cm 6-8 weeks. If duodenal ulcer 4 weeeks of ppi; if gastric ulcer 8 weeks. Treatment guidelines for pud complications (bleeding, gastric outlet, obstruction, pentration): Eradicate h. pylori if present and confirm eradication. Antisecretory therapy with ppi (e. g. omeprazole 20-40mg daily x 4-6 weeks (ulcers <1cm) and.
