What can GORD be assoc with | Asthma and adenomocarcinoma |
Main exretants of gord | Pepsin and gastric acid |
Symtoms of GORD | heartburn, retrosternal discomfot, acid brash or bile, hypersalivation and odynophagia i.e. pain on swallowing |
What is malaena | Black tarry faeces |
Peptic ulcer causes | NSAIDs h. pylori |
Gastroprotectant drugs | Lasoprazole or omeprazole |
WHat is ranitidine | Histamine antagonist- best tx in peptic disease acts on ATP pump |
What is coeliac disease | Chronic autoimmune disease- anaemia weight loss adbo pain and discomfort |
Coeliac disease in the mouth | Bad breath, gum diseases, mouth sores, mouth ulcers, swollen gums, tongue sores, tooth enamel erosion |
IBS tx | Diarrhoea- antipasmodics (hyocine) second tricyclics, constipation- isaghula 2nd linaclotide, pain antipasmodics 2nd tricyclics SSRIs or psycho therapy, bloating diet 2nd probiotics |
Are IBD and IBS the same | no IBD much worse |
3 main IBDs | Ulcerative colitits, crohns and inderterminate |
WHat is UC treated with | Glucocorticos- if fails then immunotherapy |
Crohn's tx | 5-ASAs not beneficial so immunodilators normally |
UC symptoms | Bloody diarrhoea, abdo pain, urgency,tenesmus and extra intestinal manifestation |
What is tenesmus | Rectal cramping |
What is an apthous ulcers | Larger spanning ulcer less erytematous |
What is pyoderma gangrenosum | Ulcers caused by skin condition |
What is athropathy | Joint pain of which arthristis is and e.g. |
What is espicliritis | Eye condition looks very blood shot |
What is sacroilitits | Inflammation of sacral joints |
What is ankylosisng spondylitis | Inflammation of spine and other joints |
UC mouth signs | Apthous ulceration, or bleeding ulcers, AS, pyostomatitis vegetans and pyo ganren |
Angular chelitis | Fe anaemia |
Bleeding | Pyostomatitis vegetans, percinous aneamia, UC |
Apathous ulcer | Crohns disease, perc aneamia, UC |
Intraoral bleedin | Anaemia, pernic anaemia |
Candiadiases | likely due to steroid therapy, crohns due to steroid, iron defeincent anaemia, pyostaomatisi vegans, UC |
Labial swelling | Crohns |
Erosion of enamel and dentine | Anorezxia bullimia |
Gingivitis | Anorexia, chrons and scurvy |
Glossitis | Crohns disease, aneamia and UC |
Ulcerations and erosions | Crohns aneamia p or ID pyostoamtisi vegans and UC |