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disease [GERD]
Underlying causes
Incompetent lower esophageal sphincter
Obesity
Hiatial hernia
Pregnancy
Decreased motility
Delayed gastric emptying
GERD
Treatment
First line- lifestyle modifications
Weight loss
Avoidance of instigating foods such as caffeine, fatty foods
Avoid eating right before going to sleep
Second line
H2 blockers--Cimetidine
Third line
If H2 blockers fail, try Proton Pump Inhibits--Omeprazole
Last Resort
Nissen fundoplication
Pelvic Inflammatory
Disease
Centers for Disease Control and Prevention (CDC) has
established minimal criteria for the diagnosis of PID.
According to these criteria, empiric treatment of PID is
indicated when a patient who is at risk for sexually
transmitted disease has pelvic or lower abdominal pain,
no identifiable cause for her illness other than PID, and,
on pelvic examination, 1 or more of the following
minimal criteria
Cervical motion tenderness
Uterine tenderness
Adnexal tenderness
Gastritis
Inflammation of the gastric mucosa
Types of Gastritis
Type A
Most likely found in the fundus
Associated with autoimmune causes, achlorhydria,
pernicious anemia.
Type B
Most likely found in the antrum of the stomach
Most common cause is nonsteroidal anti-infalmatory drug
[NSAID] use
Can be caused by H. pylori infection
Associated with risk for peptic ulcer disease and gastric
cancer
Gastritis
Signs and Symptoms
May be asymptomatic
Epigastric pain
Weight loss
Nausea
Vomiting
Hematemesis
Coffee ground Emesis
Gastritis
How is it Diagnosed?
Endoscopy
Treatment depends on Etiology
If H. pylori
Triple therapy: PPI, 2 antibiotics [Clarithromycin +
Amoxicillin/Metronidazole], and Bismuth [Pepto Bistmol]
Colitis
Inflammation of the inner lining of the colon.
It may cause abdominal pain, bloating, and diarrhea
with or without blood.
May be due to
Loss of blood supply to the colon
Ischemic
Gastric Ulcer
Due to decreased mucosal protection
Signs and Symptoms
Same as duodenal ulcers except pain is greater with meals, patients
Endoscopy