treatment

Question 1

peptic ulcer disease

Answer 1

lifestyle change: smoking cessation, no NSAIDs, no alcohol

H.Pylori +ve= PPI + amoxicillin + clarithromycin OR metranidazole + clarithromycin

H.Pylori -ve= PPI and H2 receptor antagonist

If gastric ulcer follow up endoscopy in 6-8 weeks to ensure no malignancy

Question 2

gastroenteritis

Answer 2

• ensure well hydrated (may need fluids)
• supportive care
• occasionally ABs required

AVOID ANTIBIOTICS FOR E.COLI (may lead to hemolytic uraemic syndrome)

Question 3

C. difficile

Answer 3

SIGHT
S= suspect
I= isolate within 2 hours
G= gloves and apron
H= hands washed with soap 
T= test immediately 

mild/moderate= metranidazole
severe= vancomycin +/- metranidazole

If treatment resistant use faecal transplant