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An ulcer on the posterior wall of duodenum -> Ābleeding from gastroduodenal artery
More likely to perforate (anterior > posterior)
Duodenal Tx: Triple Therapy for H. Pylori
Gastric
Gastric: Pain Caused by Eating
Weight loss
75% are due to H. Pylori
NSAID
Increased risk of carcinoma
Biopsy margins to rule out malignancy
Ruptured gastric ulcer on the lesser curvature of stomach -> Ābleeding from left gastric artery
Tx: Gastric Ulcer Octreotide
Irritable Bowel Syndrome (IBS) Assessment
Abdominal Pain
Relieved by Defecation
Alternating Diarrhea and Constipation
Fatigue
Excessive Flatulence
Sensation of Incomplete Evacuation
Considerations
Stressors
Food Intolerances
More Common in Women
Rule Out Other Disorders
2 mins
Irritable Bowel Syndrome (IBS) Interventions
Interventions
Identify Triggers
Increase Fiber Intake
Probiotics
Anticholinergics
Tricyclic Antidepressants (TCAs)
Loperamide
Linaclotide
Medications for Women
Tegaserod (Zelnorm)
Lubiprostone (Amitiza)
Alosetron (Lotronex)
2 mins
Helicobacter Pylori
Characteristics
Gram-Negative
Bacilli
Curved
Polar Flagellum
Catalase-Positive
Oxidase-Positive
Disease
Gastric and Duodenal Ulcers
Ammonia
Neutral Environment
Gastric Adenocarcinoma
MALT lymphoma
Diagnosis
Serology IgG antibody
Stool Antigen
Urease Positive Breath Test
Biopsy
Treatment
2 ABX and PPI
2 mins
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