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PUD Dumping Syndrome

QuestionAnswer
Peptic Ulcer Disease (PUD) Erosion of stomach/duodenal mucosa when mucosal defenses are impaired by acid/H. pylori
Gastric Ulcer Ulcers in stomach; pain occurs 30-60 min postprandial, not relieved by food; common ages 50-70
Duodenal Ulcer Most common type; pain occurs 2-3 hrs postprandial or at night, relieved by food; ages 20-50
Stress Ulcer Acute ulceration after major medical stress (burns, sepsis, head injury); bleeding is main manifestation
PUD Symptoms Dyspepsia (sharp, burning, gnawing pain), epigastric discomfort, nausea, bloating, anorexia
PUD Complications Hemorrhage (most serious), perforation (medical emergency), gastric outlet obstruction
Perforation Signs Sudden sharp abdominal pain, rigid board-like abdomen, guarding, fetal position, peritonitis
Hemorrhage Signs Hematemesis (bright red or coffee-ground), melena (black tarry stools), signs of hypovolemic shock
Dumping Syndrome Rapid gastric emptying of hyperosmolar chyme into small intestine post-gastrectomy/gastric surgery
Early Dumping Syndrome Occurs 30 min postprandial: fullness, weakness, dizziness, palpitations, sweating, diarrhea
Late Dumping Syndrome Occurs 90 min-3 hrs postprandial: hypoglycemia from excessive insulin release, confusion, diaphoresis
Dumping Syndrome Management High-protein, high-fat, low-carb diet; no liquids with meals; lie down after eating
Dumping Meds Acarbose (slows carb absorption), Octreotide SQ (slows GI transit); symptoms often resolve in 6-12 months
Gastric Cancer Adenocarcinoma most common; linked to H. pylori, chronic gastritis; poor prognosis if late diagnosis
Early Gastric CA Signs Dyspepsia, epigastric discomfort relieved by antacids, bloating, mild pain radiating to back
Advanced Gastric CA Signs Nausea/vomiting, palpable epigastric mass, weight loss, fatigue, iron/B12 deficiency anemia
Gastric Cancer Treatment Surgical resection (subtotal/partial gastrectomy), possible chemo/radiation; monthly B12 post-op
Created by: Wasurenboh
 

 



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