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Gastritis (Epidemiology image (Medications (Anti-inflammatory…
Gastritis
Epidemiology
Medications
Anti-inflammatory Medications
NSAIDS
Corticosteroids
Indomethicin
H. Pylori
Autoimmune diseases
More often in blacks
Metabolic disorders
Women are affected more
Affects all age groups
More prevalent in developing countries
Diagnosis
Endoscope
Blood draw
Stool antigen level
H. Pylori found
Physical assessment findings
Distended abdomen
Tenderness upon palpation
Treatment
Change in diet
Bland diet
Avoiding alcohol
Medications
Antibiotics for H. Pylori
Acid reducing medications
Antacids
Stress management courses
Clinical Presentation
Chronic
Anorexia
Epigastric pain
Sense of fullness
Nausea and vomiting
Indigestion
More pain with eating
Acute
Bleeding
Diarrhea
Abdominal tenderness
Epigastric pain
Nausea and vomiting
Pathophysiology
Acute
Increase in gastric acid production
Inflammation
Chronic
Type A
Occurs in the fundal of the stomach
Rare
Atrophy of stomach
Decrease in acid production
Pernicious Anemia
Type B
Occurs in the Antral of the stomach
More common
More common
Increase in acid production
Duodenal ulcers
Increase risk for gastric carcinoma
H. Pylori
