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Schematic Diagram

This schematic diagram outlines the etiology, signs and symptoms, diagnostic workup, and management of peptic ulcer disease. Key modifiable risk factors for peptic ulcer disease include stress, NSAIDs, smoking, caffeine, and alcohol. Common signs and symptoms are bloating, epigastric fullness, and vomiting of ingested food and gastric secretions. Diagnostic tests include bloodwork, CT scan, abdominal x-ray, and EGD. Management involves medical therapy like hydration, electrolyte correction, and acid-reducing medications, while surgical options include vagotomy, antrectomy, and pyloroplasty. With appropriate management, the prognosis is typically good.

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324 views3 pages

Schematic Diagram

This schematic diagram outlines the etiology, signs and symptoms, diagnostic workup, and management of peptic ulcer disease. Key modifiable risk factors for peptic ulcer disease include stress, NSAIDs, smoking, caffeine, and alcohol. Common signs and symptoms are bloating, epigastric fullness, and vomiting of ingested food and gastric secretions. Diagnostic tests include bloodwork, CT scan, abdominal x-ray, and EGD. Management involves medical therapy like hydration, electrolyte correction, and acid-reducing medications, while surgical options include vagotomy, antrectomy, and pyloroplasty. With appropriate management, the prognosis is typically good.

Uploaded by

rn msn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
  • Schematic Diagram: Illustrates the risk factors and pathogenesis related to conditions affecting gastric retention such as ulcers and obstructions.
  • Signs & Symptoms: Explains symptoms and diagnostic signs related to gastric conditions, focusing on physiological responses and lab findings.
  • Management: Describes medical and surgical management strategies for gastric retention and associated electrolyte imbalances, outlining treatment goals and outcomes.

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Schematic Diagram

MODIFIABLE RISK FACTORS


STRESS NON-MODIFIABLE RISK FACTORS
NSAIDS SEX: MALE > FEMALE
SMOKING AGE : 55-65
CAFFEINE
ALCOHOL

ETIOLOGY:
PEPTIC ULCER DISEASE
PYLORIC STENOSIS

SCARRING OF ULCER

HEALING AND FIBROSIS


FORMATION OF CICATRIX

BENIGN MALIGNANT
OBSTRUCTION OF
PEPTIC ULCER TUMORS including
GASTRODUODENAL JUNCTION
INFECTIONS (GASTRIC OUTLET OBSTRUCTION) Lymphoma,
PYLORIC STENOSIS
Adenocarcinoma and GIST
Bouveret's syndrome

GASTRIC RETENTION

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SIGNS & SYMPTOMS

BLOATING / EPIGASTRIC FULLNESS

INGESTED FOOD & GASTRIC


SECRETIONS EXIT VIA VOMITING

LOSS OF GASTRIC HYPOVOLEMIA METABOLIC WEIGHT LOSS &


ACID ALKALOSIS DEHYDRATION

SECONDARY
HYPOCHLOREMIA HYPERALDOSTERONISM HYPOVENTILATION MALNUTRITION

INCREASE PaCO2

HYPERNATREMIA HYPOKALEMIA

LABORATORY / DIAGNOSTIC
COMPLETE BLOOD COUNT
SERUM ELECTROLYTES
LIVER FUNCTION TEST
CT SCAN
ABDOMINAL X-RAY
EGD

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MANAGEMENT

WITH MANAGEMENT WITHOUT MANAGEMENT

SURGICAL ELECTROLYTE IMBALANCE


MEDICAL
SEVERE DEHYDRATION
HYDRATION & CORRECTION VAGOTOMY MULTIPLE ORGAN FAILURE
OF ELECTROLYTE ANTRECTOMY
ABNORMALITIES PYROPLASTY
BILLROTH II
INSERTION OF NGT TO
DECOMPRESS THE
DEATH
STOMACH

H2 BLOCKERS
PROTON PUMP INHIBITORS

RECOVERY PERIOD

GOOD PROGNOSIS

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