Edit: BugTrack/20399 -

* '''投稿者''' : HectPt
* '''カテゴリ''' : 修正
  
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* '''日時''' : 2015/06/30 09:29:39

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Miscellaneous Topics [url=http://sildenafilusshoprx.com/#gldpqun]Viagra[/url] .Puzzled by this Pasteur inoculated these same chickens with a full strength bacterial preparation.TAbLE  Helicobacter pylori Eradication  Regimen Advantage Disadvantage  triple therapy PPI plus two antibiotics Twice daily dosing More expensive than  bismuthbased triple therapy  Quick Hit  Acid suppression therapy  H  blockers  Ranitidine  Famotidine  Nizatidine  Cimetidine  PPIs   Esomeprazole  Omeprazole  Lansoprazole  Pantoprazole  Rabeprazole  Quadruple therapy PPI bismuth subsalicylate  and two antibiotics  Half the time as triple  therapy a week program as opposed to  weeks for triple therapy yet reaps similar eradication results  Expense of PPI  Diseases of the Gastrointestinal System    l StePUP to meDiCine  TAbLE  Complications of Peptic Ulcer Disease  clinical Findings Diagnostic Studies Management Other  Perforation Acute severe abdominal  pain signs of peritonitis hemodynamic instability  Upright CXR free air under dia  phragm CT scan is the most sensitive test for perforation detects free abdominal air  Emergency surgery to close per foration and perform definitive ulcer operation such as highly selective vagotomy or truncal  can progress to sepsis and death if untreated  vagotomypyloroplasty  Gastric outlet  obstruction  Nauseavomiting poorly digested food epigas tric fullnessearly sati ety weight loss  Barium swallow and upper endos  copy saline load test empty  stomach with a nasogastric tube add  mL saline aspirate after  Initially nasogastric suction replace electrolytevolume  deficits supplement nutrition if obstruction is longstanding  Most common with duodenal ulcers and type III gastric ulcers   mintest is positive if aspi rate   mL  Surgery is eventually necessary  in  of patients  Gi bleeding Bleeding may be slow  leading to anemic symp toms or can be rapid and severe leading to shock  Stool guaiac upper GI endoscopy  diagnostic and therapeutic  Resuscitation diagnose site of bleed via endoscopy and treat perform surgery for acute  bleeds that require transfusion of   units of blood  Peptic ulcer dis ease is the most common cause of upper Gi bleeding   If the patient has an active NSAIDinduced ulcer stop NSAID use may switch to acetaminophen.Three key elements need to be determined events before during and after the  syncopal episode.

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