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Kaplan Qbank USMLE



Author8 Posts
  #1

How does head trauma and burns cause peptic ulcers?

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  #2

because of stress induced release of Cortisol


  #3

also called cushing ulcers

  #4

Stress in the psychological sense has not been proven to influence the development of peptic ulcers. Burns and head trauma, however, can lead to "stress ulcers", and it is reported in many patients who are on mechanical ventilation

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  #5

stress---->corticol------------>stress ulcer

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  #6

The prehospital phase of head injury, also called the critical phase, consists of trauma-induced apnea and stress catecholamine release. This immediate period after head injury remains poorly summarized in the literature and essentially ignored with respect to treatment. A MEDLINE search of the literature on apneustic response and catecholamine surge after head injury and a review of literature from my acquired references revealed 116 references (from more than 600) that were pertinent. Apnea induced by head injury produces hypoxia, hypercarbia, and subsequent cardiac failure and hypotension, which, along with substantially elevated catecholamine values, promote secondary mechanisms of organ injury. Treatment for this immediate period after head injury requires a rapid response to the scene of trauma and development of treatment options that can be instituted at the scene of injury.

Mayo Clin Proc. 2000;75:37-47




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  #7

It is catecholamine surge in head trauma patients can cuase stress ulcers too !

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  #8

They cause stress induced vasoconstriction so that stomach lining gets poor blood supply,hence stress ulcers are caused.

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