This cheap and easy medication covers the ulcer site and protects it from acid. It also stimulates PGE release. It's not quite as good as H2 blockers or PPIs, and it used mainly to prevent stress-related bleeding
-From pharm 2
What is the gold standard for PUD diagnosis?
It allows visualization and biopsy
Patients with suspected PUD should be treated for H. pylori if appropriate, then referred to....
Gastroenterology for endoscopy
What are the "alarming features" that require endoscopy?
These people need F/U and are at risk for tumor, CA, or perforation.
Age >55 Weight loss Early satiety Persistent barfing Dysphagia Anemia + bleeding Gut mass Persistent anorexia Jaundice
What is the leading cause of UGI bleed?
How could PUD cause obstruction?
Scarring of the gastric outlet from chronic PUD, or edema from ulcers
Perforated peptic ulcer dispo
General surgery. Scope if no air in peritoneal space or send to OR if air in abdomen