Cushing ulcer: Difference between revisions
CSV import |
CSV import |
||
| Line 1: | Line 1: | ||
{{Infobox medical condition | |||
| name = Cushing ulcer | |||
| synonyms = Cushing's ulcer | |||
| field = [[Gastroenterology]] | |||
| symptoms = [[Gastrointestinal bleeding]], [[epigastric pain]], [[hematemesis]], [[melena]] | |||
| complications = [[Perforation (medical)|Perforation]], [[peritonitis]], [[sepsis]] | |||
| onset = Acute | |||
| duration = Variable | |||
| causes = [[Increased intracranial pressure]], [[traumatic brain injury]], [[brain tumor]], [[intracranial hemorrhage]] | |||
| risks = [[Head injury]], [[neurosurgery]], [[brain tumor]] | |||
| diagnosis = [[Endoscopy]], [[CT scan]], [[MRI]] | |||
| differential = [[Peptic ulcer disease]], [[stress ulcer]], [[Zollinger-Ellison syndrome]] | |||
| prevention = [[Proton pump inhibitors]], [[H2 receptor antagonists]] | |||
| treatment = [[Proton pump inhibitors]], [[H2 receptor antagonists]], [[surgery]] | |||
| prognosis = Variable, depends on underlying cause and complications | |||
| frequency = Rare | |||
}} | |||
'''Cushing Ulcer''' is a type of [[peptic ulcer]], a lesion in the [[stomach]] or [[duodenum]], named after [[Harvey Cushing]], an American neurosurgeon who first described it. Cushing ulcers are associated with raised intracranial pressure, particularly in patients with severe brain injury or those who have undergone brain surgery. | '''Cushing Ulcer''' is a type of [[peptic ulcer]], a lesion in the [[stomach]] or [[duodenum]], named after [[Harvey Cushing]], an American neurosurgeon who first described it. Cushing ulcers are associated with raised intracranial pressure, particularly in patients with severe brain injury or those who have undergone brain surgery. | ||
==Causes== | ==Causes== | ||
Cushing ulcers are caused by an increase in the production of [[gastric acid]] due to an increase in intracranial pressure. This is often the result of a [[brain injury]] or [[brain surgery]]. The increased pressure on the brain can lead to a disruption in the normal functioning of the [[vagus nerve]], which controls the production of gastric acid in the stomach. | Cushing ulcers are caused by an increase in the production of [[gastric acid]] due to an increase in intracranial pressure. This is often the result of a [[brain injury]] or [[brain surgery]]. The increased pressure on the brain can lead to a disruption in the normal functioning of the [[vagus nerve]], which controls the production of gastric acid in the stomach. | ||
==Symptoms== | ==Symptoms== | ||
The symptoms of a Cushing ulcer can vary depending on the severity of the ulcer. Common symptoms include [[abdominal pain]], [[nausea]], [[vomiting]], and [[bleeding]]. In severe cases, a Cushing ulcer can lead to [[perforation]] of the stomach or duodenum, which can cause severe abdominal pain and can be a life-threatening condition. | The symptoms of a Cushing ulcer can vary depending on the severity of the ulcer. Common symptoms include [[abdominal pain]], [[nausea]], [[vomiting]], and [[bleeding]]. In severe cases, a Cushing ulcer can lead to [[perforation]] of the stomach or duodenum, which can cause severe abdominal pain and can be a life-threatening condition. | ||
==Diagnosis== | ==Diagnosis== | ||
The diagnosis of a Cushing ulcer is typically made through an [[endoscopy]], a procedure in which a flexible tube with a camera is inserted through the mouth and into the stomach and duodenum. This allows the doctor to visualize the ulcer and take a [[biopsy]] if necessary. Other diagnostic tests may include a [[barium swallow]] or a [[CT scan]]. | The diagnosis of a Cushing ulcer is typically made through an [[endoscopy]], a procedure in which a flexible tube with a camera is inserted through the mouth and into the stomach and duodenum. This allows the doctor to visualize the ulcer and take a [[biopsy]] if necessary. Other diagnostic tests may include a [[barium swallow]] or a [[CT scan]]. | ||
==Treatment== | ==Treatment== | ||
The treatment of a Cushing ulcer typically involves medications to reduce the production of gastric acid, such as [[proton pump inhibitors]] or [[H2 blockers]]. In severe cases, surgery may be required to repair a perforated ulcer. | The treatment of a Cushing ulcer typically involves medications to reduce the production of gastric acid, such as [[proton pump inhibitors]] or [[H2 blockers]]. In severe cases, surgery may be required to repair a perforated ulcer. | ||
==Prevention== | ==Prevention== | ||
Prevention of Cushing ulcers involves managing the underlying cause of the increased intracranial pressure. This may involve medications to reduce swelling in the brain, surgery to relieve pressure, or other treatments as appropriate. | Prevention of Cushing ulcers involves managing the underlying cause of the increased intracranial pressure. This may involve medications to reduce swelling in the brain, surgery to relieve pressure, or other treatments as appropriate. | ||
==See also== | ==See also== | ||
* [[Peptic ulcer]] | * [[Peptic ulcer]] | ||
| Line 21: | Line 33: | ||
* [[Brain injury]] | * [[Brain injury]] | ||
* [[Endoscopy]] | * [[Endoscopy]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 04:38, 4 April 2025
| Cushing ulcer | |
|---|---|
| Synonyms | Cushing's ulcer |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Gastrointestinal bleeding, epigastric pain, hematemesis, melena |
| Complications | Perforation, peritonitis, sepsis |
| Onset | Acute |
| Duration | Variable |
| Types | N/A |
| Causes | Increased intracranial pressure, traumatic brain injury, brain tumor, intracranial hemorrhage |
| Risks | Head injury, neurosurgery, brain tumor |
| Diagnosis | Endoscopy, CT scan, MRI |
| Differential diagnosis | Peptic ulcer disease, stress ulcer, Zollinger-Ellison syndrome |
| Prevention | Proton pump inhibitors, H2 receptor antagonists |
| Treatment | Proton pump inhibitors, H2 receptor antagonists, surgery |
| Medication | N/A |
| Prognosis | Variable, depends on underlying cause and complications |
| Frequency | Rare |
| Deaths | N/A |
Cushing Ulcer is a type of peptic ulcer, a lesion in the stomach or duodenum, named after Harvey Cushing, an American neurosurgeon who first described it. Cushing ulcers are associated with raised intracranial pressure, particularly in patients with severe brain injury or those who have undergone brain surgery.
Causes[edit]
Cushing ulcers are caused by an increase in the production of gastric acid due to an increase in intracranial pressure. This is often the result of a brain injury or brain surgery. The increased pressure on the brain can lead to a disruption in the normal functioning of the vagus nerve, which controls the production of gastric acid in the stomach.
Symptoms[edit]
The symptoms of a Cushing ulcer can vary depending on the severity of the ulcer. Common symptoms include abdominal pain, nausea, vomiting, and bleeding. In severe cases, a Cushing ulcer can lead to perforation of the stomach or duodenum, which can cause severe abdominal pain and can be a life-threatening condition.
Diagnosis[edit]
The diagnosis of a Cushing ulcer is typically made through an endoscopy, a procedure in which a flexible tube with a camera is inserted through the mouth and into the stomach and duodenum. This allows the doctor to visualize the ulcer and take a biopsy if necessary. Other diagnostic tests may include a barium swallow or a CT scan.
Treatment[edit]
The treatment of a Cushing ulcer typically involves medications to reduce the production of gastric acid, such as proton pump inhibitors or H2 blockers. In severe cases, surgery may be required to repair a perforated ulcer.
Prevention[edit]
Prevention of Cushing ulcers involves managing the underlying cause of the increased intracranial pressure. This may involve medications to reduce swelling in the brain, surgery to relieve pressure, or other treatments as appropriate.
