Medical Practice

Case: Agents for upper GI disorders. Questions – Answers

Questions [1] Which of the following is the most common adverse effect of omeprazole? A. Black stools B. Constipation C. Headache D. Vomiting [2] Ranitidine inhibits which of the following? A. Gastrin binding to parietal cells B. Histamine…

Heartburn in practice

Patient perspectives I’ve been having trouble with heartburn. In fact, it is one of the reasons I wanted to lose weight. I used to get it every once in a while, but then it started to get more…

Mouth ulcers in practice

Case 1 Anthony Jarvis, a man in his early fifties, asks you to recommend something for painful mouth ulcers. On questioning, he tells you that he has two ulcers at the moment and has occasionally suffered from the…

The producer’s stomach ache

• describe the symptoms of a peptic ulcer; • explain how the secretion and motility of the stomach is controlled; • outline the mechanism of gastric acid secretion and the mode of action of H2 antagonists and proton…

Case: agents for lower GI disorders. Class

The agents used for acute treatment of diarrhea of mild-to-moderate severity (Table: Antidiarrheal agents) may also be used for control of chronic diarrhea resulting from IBD and IBS (Table: Drugs used to treat bowel disorders). When constipation is…

Case: agents for lower GI disorders

A 22-year-old man presents for the evaluation of abdominal pain and diarrhea. He states that for approximately a month he has had progressively worsening cramping pains. He has had watery diarrhea and, from time to time, has noted…

Case: Agents for upper GI disorders. Class

Drugs used to treat acid-peptic diseases (Table Medications for peptic ulcers) either reduce gastric acidity (antacids, histamine H2-receptor antagonists, and PPIs) or promote the defense of the GI mucosa (sucralfate, bismuth subsalicylate, and the prostaglandin analog, misoprostol). Table:…

Case: Agents for upper GI disorders

A 48-year-old man presents for evaluation of heartburn. He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce. He is sometimes awakened at night with these symptoms….

Jude’s sudden admission to hospital

• review the exocrine and endocrine secretions of the pancreas; • outline the diagnostic tests for pancreatitis; • describe the control of pancreatic secretion; • explain the effects of acute and chronic pancreatitis. Part 1 Jude is a…