Disorders of the Stomach (PEARLS)
Terms in this set (26)
A patient presents with
left supraclavicular lymphadenopathy and an umbilical lymph node
. What do you suspect?
Gastric cancer or abdominal cancer (Left supraclavicular lymphadenopathy aka Virchow's node)
Refers to a palpable
nodule bulging into the umbilicus as a result of metastasis
of a malignant cancer in the pelvis or abdomen.
Sister Mary Joseph's node (Umbilical)
Gastrin secreting tumor
H. pylori Triple therapy
Clarithromycin + Amoxicillin + PPI
A patient describes
abdominal discomfort that improves with meals
and gets worse an hour or so later. What do you suspect?
Projectile vomiting occurs shortly after feeding in an infant
< 3 mo old, palpable "olive-like" mass
The most common cause of GERD
H. pylori infection
What is the gold standard for diagnosis of GERD?
pH monitoring with a intra-esophageal electrode
What surgical procedure is indicated for refractory GERD?
What lifestyle change, in addition to smoking cessation, not eating before bedtime, and proper food choices, has the largest effect on GERD symptoms?
A patient describes
abdominal discomfort that is worse with meals
and gets better an hour or so later after eating? What do you suspect?
Treatment for gastritis?
Proton pump inhibitor - Treat H. Pylori if present - Remove irritants
What GI cancer is acanthosis nigricans associated with?
What medications may result in a false-negative urea breath test in a patient with H. pylori?
Proton pump inhibitors - H2 blockers - Bismuth - Antibiotics
What symptoms of GERD may present as a pulmonary disease process?
Hoarseness cough wheeze
Syndrome with elevated gastrin levels?
What type of GI ulcer has pain relief with food?
In addition to peptic stricture what is another complication of chronic GERD?
What disorder can cause heartburn hoarseness and atypical chest pain?
A baby presents with vomiting and abdominal exam reveals an olive like mass in the RUQ. What do you suspect?
What exam finding would be possibly seen on radiologic work up for child with pyloric stenosis?
US for identification shows a Double-track - Follow up barium studies show String sign and Shoulder sign
Use of what antibiotic is associated with increased risk of pyloric stenosis?
Clarithromycin (Note: erythromycin is also associated)
What type of hernia can worsen GERD symptoms?
What MEN I tumor causes excess gastric acid production?
A patient describes abdominal discomfort that is worse with meals and gets better an hour or so later after eating? What do you suspect?
A patient describes abdominal discomfort that improves with meals and gets worse an hour or so later. What do you suspect?
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