Gastro intestinal75 Videos
Murphy’s sign – clinical examination
Overview of gallstone disease in adults ●Clinical presentation •Asymptomatic The majority of patients with gallstones are asymptomatic and will remain so throughout their lives. Of those with incidental (asymptomatic) gallstones, approximately 15 to 25 percent will become symptomatic after 10 to 15 years of follow-up. •Biliary colic Patients with symptomatic uncomplicated gallstone disease typically […]
Pancreatitis – Acute and Chronic Pancreatitis Nursing Lecture Symptoms, Treatment, Pathophysiology
Pathogenesis of acute pancreatitis ●Although a number of conditions can precipitate acute pancreatitis, only a small fraction of patients with these predisposing conditions develops acute pancreatitis. For example, the incidence of acute pancreatitis is only 3 to 7 percent in patients with gallstones and 10 percent in alcoholics. ●It is unclear why alcohol-induced pancreatitis occurs […]
Peptic ulcer disease – causes, symptoms, diagnosis, treatment, pathology
Prevention of recurrence •The need for aspirin and NSAIDs should be carefully assessed in patients with a history of peptic ulcer disease. NSAIDs, including aspirin, increase the risk of bleeding in patients with prior peptic ulcer disease. In patients treated for H. pylori, eradication of infection should be confirmed four or more weeks after the completion of therapy. •Maintenance […]
Peptic Ulcer Disease Nursing, Pathophysiology, Treatment – Gastric Ulcer vs Duodenal Ulcer
Clinical manifestations and diagnosis Clinical manifestations Peptic ulcers are commonly asymptomatic. Symptomatic peptic ulcers most commonly present with epigastric pain or food-provoked epigastric discomfort and fullness, early satiety, and nausea. Complications Complications may be heralded by new ulcer symptoms or a change in symptoms, or may occur in the absence of typical symptoms. […]
Peptic Ulcer Disease- Mechanisms and Treatment – Lecturio Medical
etiology and pathogenesis ●Estimates of the annual incidence of peptic ulcer disease (PUD) range from 0.1 to 0.3 percent. PUD incidence in Helicobacter pylori (H. pylori)-infected individuals is approximately 1 percent per year, a rate that is 6- to 10-fold higher than for uninfected subjects. The incidence of PUD increases with age for both duodenal and […]