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Medicine

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Liver & GIT

Question
12 out of 27
 

Commonest site of peptic ulcer is:(LQ)



A 1st part of Duodenum

B 2nd part of duodenum

C Distal 1/3 of stomach

D Pylorus of the stomach

Ans. A 1st part of Duodenum

Gastritis

The term gastritis should be reserved for histologically documented inflammation of the gastric mucosa.

Table 287-9 Classification of Gastritis (Ref. H-18th Pg-2457,Table-293.9)

I. Acute gastritis

A. Acute H. pylori infection

B. Other acute infectious gastritides

1. Bacterial (other than H. pylori)

2. Helicobacter hermannii

3. Phlegmonous 4. Mycobacterial

5. Syphilitic 6. Viral

7. Parasitic 8. Fungal

II. Chronic atrophic gastritis

A. Type A: Autoimmune, body- predominant

B. Type B: H. pylori–related, antral-predominant

C. Indeterminant

III. Uncommon forms of gastritis

A. Lymphocytic B. Eosinophilic

C. Crohn's disease D. Sarcoidosis

E. Isolated granulomatous gastritis

Acute Gastritis

a. The most common causes of acute gastritis are infectious.

b. Acute infection with H. pylori induces gastritis.

c. Hypochlorhydria lasting for up to 1 year may follow acute H. pylori infection.

d. The highly acidic gastric environment may be one reason why infectious processes of the stomach are rare.

e. Elderly individuals, alcoholics, and AIDS patients may be affected.

Type A Gastritis

1. It involves primarily the fundus and body, with antral sparing is seen.

2. This form of gastritis pernicious anemia in the presence of circulating antibodies against parietal cells and IF; thus, it is also called autoimmune gastritis.

Type B Gastritis

Type B, or antral-predominant, gastritis is the more common form of chronic gastritis. H. pylori infection is the cause of this entity.

Diseases caused by H. pylori(It does not cause leiomyoma)

1. DU 2. Gastric ulcer 3. Gastric carcinoma

4. Atrophic gastritis (Type B) 5. Mucosa associated lymphoid tissue (MALT) lymphoma.

Liver & GIT Flashcard List

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