Pulmonary Function Testing--The Basics of Interpretation

Peptic Ulcer Disease Ramona Carter-Burdine M.D. UTMB Galveston, Tx

Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]

Disease Prevalence ,[object Object],[object Object],[object Object],[object Object],[object Object]

Definition ,[object Object],[object Object]

Differentiating gastric from peptic ulcer disease ,[object Object],[object Object],[object Object]

Case Presentation ,[object Object],[object Object],[object Object],[object Object]

Initial Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mr. Jones HPI ,[object Object],[object Object]

Signs and Symptoms of PUD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Pearls ,[object Object],[object Object]

Mr Jones History ,[object Object],[object Object],[object Object],[object Object]

Common Risk Factors for Gastric Mucosal Disruption ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pathophysiology ,[object Object]

NSAIDs ,[object Object],[object Object],[object Object],[object Object],[object Object]

Individual NSAID Risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

History of Ulcer Treatment ,[object Object],[object Object],[object Object]

History of Ulcer Treatment Cont’d ,[object Object],[object Object],[object Object],[object Object]

Discovery of Helicobacter pylori ,[object Object],“Robin Warren and Barry Marshall's work on ulcers was pioneering” Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/asia-pacific/4307826.stm Published: 2005/10/04 10:39:09 GMT © BBC MMVII

H. pylori ,[object Object],[object Object],[object Object],[object Object],[object Object]

H. pylori ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differentiating between H. pylori and NSAID-induced ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other Disease Conditions Associated with PUD ,[object Object],[object Object]

Mr. Jones Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical Exam Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]

If Mr. Jones Hemoccult is Positive ,[object Object],[object Object],[object Object]

Lab Studies to Evaluate PUD ,[object Object],[object Object],[object Object],[object Object],[object Object]

Principles in Selecting H. pylori Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

H. Pylori Serology Antibody Test ,[object Object],[object Object],[object Object]

When is a Serology Test Useful? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

H. Pylori Stool Antigen (HpSa) Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Urea Breath Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Breath Test Compared to HpSa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Imaging Studies ,[object Object],[object Object],[object Object],[object Object],[object Object]

Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rapid Urease Test and Histopathology ,[object Object],[object Object],[object Object]

Mr. Jones Prior Ulcer History ,[object Object],[object Object]

Answer ,[object Object],[object Object],[object Object]

Moving on to Treatment Options……….

Over The Counter Remedies ,[object Object],[object Object],[object Object],[object Object]

Over the Counter Remedies cont’d ,[object Object],[object Object]

H2-Blockers ,[object Object],[object Object],[object Object]

Side Effects of Cimetidine/Tagamet ® ,[object Object],[object Object],[object Object],[object Object]

Proton Pump Inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object]

Other Pharmacotherapy Agents ,[object Object],[object Object]

H. Pylori Triple Therapy Treatment ,[object Object],[object Object],[object Object],[object Object]

H Pylori Treatment http://www.drugdigest.org/DD/Comparison/NewComparison/0,10621,550540-21,00.html Cure Rate Side Effect Rating 81-92% low-medium Prevpak 80-85% medium-high Helidac + H2 blocker Combination Products 80-90% medium Amoxicillin + Metronidazole + PPI 80-90% medium-low Amoxicillin + Clarithromycin + PPI 80-90% medium Clarithromycin + Metronidazole + PPI Three Drug Regimens

H. Pylori Therapy cont’d ,[object Object],[object Object],[object Object]

PUD Complications ,[object Object],[object Object],[object Object],[object Object]

Initial Treatment Plan in the Absence of High Risk Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]

Final Recommendations ,[object Object],[object Object],[object Object],[object Object]

Medical Legal Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object]

Alternate Scenarios of Mr. Jones Case ,[object Object],[object Object]

Alternate Scenarios to Mr. Jones Case ,[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulmonary Function Testing--The Basics of Interpretation

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Andere mochten auch

Andere mochten auch (6)

Ähnlich wie Pulmonary Function Testing--The Basics of Interpretation

Ähnlich wie Pulmonary Function Testing--The Basics of Interpretation (20)

Mehr von MedicineAndHealthUSA

Mehr von MedicineAndHealthUSA (20)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

Pulmonary Function Testing--The Basics of Interpretation