| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Other
factors associated with ulcer formation.
-
Cigarette smoking impairs mucosal
blood flow and healing.
-
Corticosteroid use impairs healing.
-
Too rapid gastric emptying exposes
duodenal mucosa to high acid levels leading to duodenal ulceration.
-
Excessive gastrin secretion
such as is seen in Zollinger-Ellison syndrome can lead to multiple
ulcers at all levels of the GI tract.
-
COPD leading to a chronic respiratory
acidosis.
-
Chronic renal failure.
-
Hyperparathyroidism.
-
Personality and psychological
stress.
-
Caffeine and foods that stimulate
acid secretion.
The take-home
message. |
|