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Chapter61
Dyspepsia & Peptic Ulcer Disease
9
Medical
Professional
10/13/2011

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Cards

Term
Red flag symptoms
Definition
Vomiting, Bleeding, dysphagia, anemia, weight loss
Term
Common cause of chronic PUD
Definition
H. Pylori
Term
Medications that aggravate dyspepsia
Definition
Bisphosphonates, tetracyclines, CCBs
Term
Symptoms of PUD
Definition
Ulcer-like pain, reflux-like pain, dysmotility
Term
Empiric therapy for PUD
Definition
Treat with PPI or H2 antagonist
Term
Management of dyspepsia. If the patient is taking ASA/NSAID, what should be done?
Definition
D/C ASA/NSAID and add PPI for heartburn predominant dyspepsia
Term
If positive for H. Pylori, what is treatment? If that fails what should be done?
Definition
(+) for H.Pylori - Triple Therapy:

PPI + Clarithromycin + amoxicillin

OR

PPI + clarithromycin + metronidazole

If THAT fails, take UBT test again to confirm H. Pylori. If positive, treat with QUADRUPLE therapy
Term
When should you treat with quadruple therapy? What is it?
Definition
Quadruple therapy is used after H.pylori is detected, and triple therapy failed, AND a positive UBT test was re-done to confirm that it is indeed H.Pylori.

Quadruple therapy:
PPI + Bismuth salicylate + metronidazole + tetracycline

Quadruple therapy can be used first line.

Also If fail triple therapy for 1 week, use the OTHER triple therapy regimen for 2 weeks (another option to quadruple therapy)
Term
What should be used in patients with DU or GU not associated with NSAID/ASA use or H.Pylori
Definition
PPI
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