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Title: Upper Gastrointestinal System
Description: Explanation of the aetiology, presentation, required investigations, management and complications of upper gastrointestinal conditions. Ideal for clinical medical students, in a easy to read slide-based format
Description: Explanation of the aetiology, presentation, required investigations, management and complications of upper gastrointestinal conditions. Ideal for clinical medical students, in a easy to read slide-based format
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UPPER GI
Peptic Ulcer Disease
Aetiology
•
•
•
•
•
•
•
•
•
H
...
pylori
• Carbon-13 breath test
• Stool an@gen test
• Endoscopy
• Not required unless presen@ng for the first @me over age 55, or
displaying other warning signs such as chronic weight loss, blood
loss or persistent vomi@ng
Management
• Modifica@on of behaviour
• Smoking cessa@on
• Stop NSAID use if possible
• H
...
pylori-nega@ve
• PPI therapy first line – omeprazole 20mg for one month, then
10mg maintenance
Complications
• Erosion of a large blood vessel – haematemesis or melaena
require urgent admission to hospital
• Perfora6on of an ulcer – causes an acute abdomen with
epigatric pain
• Pyloric stenosis – scarring of the duodenum, causes vomi@ng
and weight loss – rare
Functional (nonulcer) Dyspepsia
Aetiology
• The cause is not clear or unknown
Presentation
•
•
•
•
•
•
Pain or discomfort in upper abdomen
Bloa@ng
Belching
Quickly feeling full a[er ea@ng
Nausea
Vomi@ng
Investigations
• Func@onal dyspepsia is a diagnosis made when no other cause
can be found
Management
•
•
•
•
Reassurance and explana@on
Lifestyle changes
Clearing any H
...
pylori eradica@on if present
• Laparoscopic fundoplica@on surgery
• Inser@on of a magne@c bead band around the distal oesophagus
at the gastro-oesophageal junc@on
Complications
•
•
•
•
Oesophagi@s/ulcer
Anaemia
Oesophageal stricture
BarreI’s oesophagus
Oesophageal
Carcinomas
Aetiology
Presentation
Investigations
Management
Complications
Gastric Carcinoma
Aetiology
Presentation
Investigations
Management
Complications
Title: Upper Gastrointestinal System
Description: Explanation of the aetiology, presentation, required investigations, management and complications of upper gastrointestinal conditions. Ideal for clinical medical students, in a easy to read slide-based format
Description: Explanation of the aetiology, presentation, required investigations, management and complications of upper gastrointestinal conditions. Ideal for clinical medical students, in a easy to read slide-based format