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Erosive GastritisAka: Hemorrhagic Gastritis, Multiple Gastric Erosions, Stress Ulcer
- See Also
- Pathophysiology
- Causes
- Medications
- Severe stress (mucosal protection breaks down, allows for splanchnic hypoperfusion)
- Burns
- Sepsis
- Trauma
- Surgery
- Shock
- Respiratory failure
- Renal Failure
- Liver failure
- Mechanical Ventilation
- Symptoms (May be asymptomatic)
- Epigastric discomfort
- Nausea or Vomiting
- Hematemesis
- Melena
- Signs
- Epigastric tenderness
- Diagnosis
- Upper endoscopy (EGD)
- Mucosal inflammation and engorgement
- Erosions and hemorrhages
- Upper GI barium study
- Thickened rugae
- Upper endoscopy (EGD)
- Management
- ABC Management first
- Prevention in Critically ill hospitalized patients
- Option 1: Maintain gastric pH > 4
- Proton Pump Inhibitor orally or intravenously
- H2 Antagonist IV drip
- Protect against Aspiration Pneumonia
- Option 2: Topical protectants
- Sucralfate (carafate) slurry 1 g PO q6h
- Misoprostol 200 ug PO qid
- Less risk of Aspiration Pneumonia than Option 1
- Option 1: Maintain gastric pH > 4
Curling Ulcer (C0010474) | |
|---|---|
| Definition (MSH) | Acute stress DUODENAL ULCER, usually observed in patients with extensive third-degree burns. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D004381 |
| English | Curling Ulcer, Curling's Ulcer, Curling's ulcers, Curlings Ulcer, Stress ulcer, STRESS ULCERS, ULCER STRESS |
| Spanish | ulcera por estres, ulceras de Curling, ulceras por stress |
| Parent Concepts | Peptic Ulcer (C0030920), Non-Neoplastic Gastrointestinal Disorder (C1335011), Gastrointestinal ulcer (C0237938), Stress ulcer of duodenum (C0341237), Ambiguous concept (C1274012) |
| Sources | AOD, CST, DXP, MSH, NCI, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
Acute gastric mucosal erosion (C0267112) | |
|---|---|
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 535.01, 535.01 |
| English | Acute erosion of stomach, Acute erosive gastritis, Acute gastric mucosal erosion, ACUTE GASTRITIS W HMRHG, Acute gastritis with hemorrhage, Acute haemorrhagic gastritis, Acute hemorrhagic gastritis, Erosive Gastritis, Erosive gastropathy, GASTRITIS EROSIVE, GASTRITIS HAEMORRHAGIC, GASTRITIS HEMORRHAGIC, Haemorrhagic gastritis, HEMORRHAGIC GASTRITIS, Idiopathic erosive/haemorrhagic gastritis, Idiopathic erosive/hemorrhagic gastritis |
| French | Gastropathie erosive |
| Italian | Gastropatia erosiva |
| Spanish | erosion aguda de estomago, erosion mucosa gastrica aguda, gastritis aguda erosiva, gastritis erosiva, gastritis erosiva aguda, gastritis hemorragica, gastritis hemorragica aguda, gastritis hemorragica/erosiva idiopatica, gastropatia erosiva |
| Parent Concepts | Hemorrhage (C0019080), Stomach Diseases (C0038354), SMALL/LARGE BOWEL (C0549617), Acute gastritis (C0149518), Gastritis (C0017152), Gastric ulcer (C0038358), Gastric hemorrhage (C0235325), Duplicate concept (C1274013), Gastric erosion (C1384498) |
| Sources | COSTAR, CST, ICD9CM, MTH, MTHICD9, MTHMST, MTHMSTFRE, MTHMSTITA, NCI, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |