Gastrointestinal

Glasgow Criteria for Pancreatitis (Markers of poor prognosis)

PANCREAS

pO2: <8 kPa

Age: >55 years

Neutrophils (WCC): >15 x 10³ /uL

Calcium: <2.0mmol/L

Renal (urea): >16mmol/L

Enzymes: LDH >600mmol/L, AST/ALT >200iu/L

Albumin: <32mmol/L

Sugar (glucose): >10mmol/L

Severe disease is present if three of more of the criteria are present within 48h

H.Pylori Eradication

CA/MP

Clarithromycin

Amoxicillin / Metrondiazole

PPI (Lanzoprazole)

Gastric Cancer Red Flag Symptoms

Ring DE - ALARMS he may have cancer

Dyspepsia

Epigastric pain

Anaemia

Loss of weight

Anorexia

Relapsing / New onset of symptoms

Melaena

Swallowing difficulty (dysphagia)

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