Gastritis.pptx

Clinical Reasonin – Abdominal Pain Second Meeting Alfred H. Alphanto 405150114

Gastritis • Acute  Erosive/ non-erosive • Defect in balance of acid and protective barrier • Erosive  usually NSAID Induced • Non Erosive  H. Pylori Infection  Chronic • Chronic may be type 4 hypersensitivity

Anamnesis • History of mucosal injury (eg. Gastritis, Peptic Ulcer Disease, Injury caused by medical Intervention) • History of eating raw fish • History of NSAID frequent consumption • Consumption of gastritis inducing drug history

Physical Examination Usually Normal

Laboratory and Imaging Study • • • • • •

Complete Blood test gGT & ALP Pregnancy Test FOBT Endoscopy Biopsy

Cholecystitis • Inflammation of Gallbladder • Usually caused by obstruction by gallstones

Anamnesis • Collin’s Sign positive • Pain when consuming fat-rich food • Pain from epigastric region then localize tu RUQ • Initially colicky than become constant • History of Gallstones • Nausea, Vomiting, and fever may be noted

Laboratory and Imaging Study • • • • • •

gGT & ALP Amylase / Lipase Bilirubin SGPT & SGOT Complete Blood Count Plain Abdominal X-Ray

Gastroenteritis • Inflammation of Gastrointestinal lumen • A series of symptoms such as diarrhea, nausea, and vomittin • Usually self-limited • Anamnesis focused on stool such as appereance, volume, frequency, blood, pH. • Anamnesis on on another symptom can specify the diiferential diagnose