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Internal Medicine

Stress-induced gastritis

Also referred to as stress-related erosive syndrome, stress ulcer syndrome, and stress-related mucosal disease.

Aetiology

  • Physical trauma
  • Shock
  • Sepsis
  • Haemorrhage
  • Respiratory failure

Pathophysiology

Characterised by multiple superficial (non-ulcerating) erosions.

  • M/C location: Fundus

Clinical features

  • Painless upper GI bleed

Diagnosis

  • Tissue biopsy:
  • Wedge-shaped mucosal haemorrhages with coagulation necrosis of superficial mucosal cells.

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