Gastroenterology Book

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Erosive Gastritis

Aka: Erosive Gastritis, Hemorrhagic Gastritis, Multiple Gastric Erosions, Stress Ulcer
  1. See Also
    1. Dyspepsia
    2. Peptic Ulcer Disease
  2. Pathophysiology
  3. Causes
    1. Medications
      1. Aspirin
      2. NSAIDs
      3. Alcohol
    2. Severe stress (mucosal protection breaks down, allows for splanchnic hypoperfusion)
      1. Burns
      2. Sepsis
      3. Trauma
      4. Surgery
      5. Shock
      6. Respiratory failure
      7. Renal Failure
      8. Liver failure
      9. Mechanical Ventilation
  4. Symptoms (May be asymptomatic)
    1. Epigastric discomfort
    2. Nausea or Vomiting
    3. Hematemesis
    4. Melena
  5. Signs
    1. Epigastric tenderness
  6. Diagnosis
    1. Upper endoscopy (EGD)
      1. Mucosal inflammation and engorgement
      2. Erosions and hemorrhages
    2. Upper GI barium study
      1. Thickened rugae
  7. Management
    1. ABC Management first
  8. Prevention in Critically ill hospitalized patients
    1. Option 1: Maintain gastric pH > 4
      1. Proton Pump Inhibitor orally or intravenously
      2. H2 Antagonist IV drip
      3. Protect against Aspiration Pneumonia
    2. Option 2: Topical protectants
      1. Sucralfate (carafate) slurry 1 g PO q6h
      2. Misoprostol 200 ug PO qid
      3. Less risk of Aspiration Pneumonia than Option 1

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
SnomedCT 39755000
English Ulcer, Curling's, Curling's Ulcer, Curlings Ulcer, ULCER, CURLINGS, ULCER, GASTROINTESTINAL, FOLLOWING BURN, Curling's ulcer, Curling ulcers, Curling Ulcer, curling ulcer, curlings ulcer, curling ulcers, curling's ulcer, curlings ulcers, Ulcer, Curling, Curling's ulcers, Curling's ulcers (disorder), Curling
Italian Ulcera di Curling
Japanese カーリング潰瘍, カーリングカイヨウ
Czech Curlingův vřed
French Ulcère de Curling
German Curling-Ulkus
Hungarian Curling fekély
Spanish úlceras de Curling (trastorno), úlceras de Curling, Ulcera de Curling, Úlcera de Curling
Dutch Curling-ulcus
Portuguese Úlcera de Curling
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Acute gastric mucosal erosion (C0267112)

Concepts Disease or Syndrome (T047)
ICD10 K25
SnomedCT 444926003, 2367005, 18338004, 18665000, 182945005
English Acute gastric mucosal erosion, NOS, acute erosive gastritis (diagnosis), acute erosive gastritis, Acute gastric mucosal erosion, Acute gastric erosions, erosion (acute) of stomach, Acute erosive gastritis (disorder), Acute erosive gastritis, Erosion;gastric;acute, acute gastric erosions, gastritis erosive, erosive gastritis, haemorrhagic gastritis, acute hemorrhagic gastritis, erosive gastropathy, gastritis hemorrhagic, haemorrhagic gastriti, hemorrhagic gastritis, Acute erosion of stomach, Acute gastric mucosal erosion (disorder), acute gastric erosion
Dutch acute maagerosies
French Erosions gastriques aiguëes
German akute Magenerosionen
Italian Erosioni gastriche acute
Portuguese Erosões gástricas agudas
Spanish Erosiones gástricas agudas, gastritis erosiva aguda, gastritis aguda erosiva, gastritis erosiva aguda (trastorno), erosión aguda de la mucosa gástrica, erosión aguda de la mucosa gástrica (trastorno), erosión mucosa gástrica aguda (trastorno), erosión mucosa gástrica aguda, erosión aguda de estómago
Japanese 急性胃粘膜びらん, キュウセイイネンマクビラン
Czech Akutní žaludeční eroze
Hungarian Acut gastrikus erosiók
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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