Gastritis is one of those topics that bothers me. In fact, almost any –itis disease bothers me. It just seems weird to have an entire disease lying on the existence of inflammation. I still don't quite understand it; in any case, the below is what I've gathered on the subject so far.
Definitions
Gastritis is simply epithelial damage of the stomach mucosa, associated with inflammation found by biopsy. In contrast, gastropathy is the same thing but without the inflammation. Note there has been some confusion around the term, because some endoscopists use the term gastritis to describe changes gross changes they see with the scope. However, one study showed that gross changes by scope are not well associated with presence or absence of inflammation by biopsy.
Classifications
Now as you might imagine, gastritis is a fairly non-specific condition. That is, there exist several disease processes associated with gastritis. As such, there are several ways one might classify gastritis, i.e. by acute vs chronic, etiology(H. pylori vs…TB), specific histological changes (intestinal metaplasia, atrophy, granulomas), etc.
For the med student, it is probably important to know the specific details of each possible disease process.
Signs & Symptoms
First Aid, Goljan Rapid Review, and UpToDate all do not have articles on the signs & symptoms of gastritis. I'm not sure why. Maybe because the symptoms are specific to each disease process associated with gastritis?
Actually, signs& symptoms can be found here: http://emedicine.medscape.com/article/176156-clinical
References:
http://emedicine.medscape.com/article/176156-overview#a0104
http://www.uptodate.com/contents/acute-and-chronic-gastritis-due-to-helicobacter-pylori?source=search_result&selectedTitle=2~150
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