Helicobacter pylori

• What mnemonic is used to remember H. pylori?

  Dirty pile of clothes
• What color are the walls in the H. pylori scene?

  Pink
• What does the pink color of the walls signify?

  1. H.pylori is a gram-negative organism
• What shape is H. pylori?

  Curved bacillus
• What does the mustache on the stepdad represent?

  1. H.pylori is a curved bacillus
• What does the flag on the wall indicate about H. pylori?

  It is flagellated and motile
• What does the hematoxylin and eosin stain show?

  Curved bacilli adjacent to gastric mucosa
• What is pathognomonic for H. pylori?

  Organisms adjacent to gastric mucosa
• Why is the H&E stain not as reliable?

  It may not show pink or red organisms
• What type of stain is often used for H. pylori?

  Silver-based stains
• What does the silver plate with silverware represent?

  1. H.pylori can be diagnosed with silver stains
• Where does H. pylori colonize?

  The antrum of the stomach
• What does the cat on the pile of clothes signify?

  1. H.pylori is catalase positive
• What does the yellow streak of urine indicate?

  1. H.pylori is urease positive
• How does H. pylori survive in the acidic stomach?

  It produces ammonia to create an alkaline environment
• What does the blue necklace worn by the mom represent?

  1. H.pylori is oxidase positive
• What does the red stain on the blanket symbolize?

  1. H.pylori causes peptic ulcer disease
• What does the gas cloud represent?

  1. H.pylori can cause chronic gastritis
• What does the cancer hope ribbon symbolize?

  1. H.pylori can cause gastric carcinoma
• What does the malt shake represent?

  1. H.pylori can cause malt lymphoma
• How is H. pylori diagnosed?

  With a urease breath test
• What does the urease breath test exploit?

  1. H.pylori converts urea into CO2 and ammonia
• What is the treatment for H. pylori?

  Triple therapy: amoxicillin, clarithromycin, PPI
• What does the vacuum represent in the treatment of H. pylori?

  1. H.pylori can be treated with proton pump inhibitors
• What does the ammo belt signify in the treatment of H. pylori?

  1. H.pylori should be treated with amoxicillin
• What does the clarinet represent in the treatment of H. pylori?

  1. H.pylori should be treated with clarithromycin
• What are the components of the triple therapy for H. pylori treatment?

  • Amoxicillin
  • Clarithromycin
  • Proton pump inhibitor
• What is the most likely cause of the patient's symptoms in the case study?

  Nsaid use leading to peptic ulcer disease
• Why is it important to consider other causes of peptic ulcer disease?

  Chronic NSAID use is a major cause
• What does black tarry stools indicate?

  Upper GI bleed due to peptic ulcer
• What symptoms suggest anemia and hypovolemia in the patient?

  Tachycardia and hypotension
• Why is the correct answer to the case study B?

  Chronic NSAID use is highly suggestive
• What should you beware of when diagnosing a bleeding ulcer?

  Consider other causes like NSAID use
• What is the final conclusion about H. pylori from the material?

  1. H.pylori is a significant cause of peptic ulcers