Published on March 13, 2014
Maryam Jamilah Binti Abdul Hamid 082013100002 IMS Bangalore
We should be able to identify clinical features for peptic ulcer We should be able to know the investigation in peptic ulcer We should be able to list the management in patient with peptic ulcer.
Duodenal Ulcer Abdominal pain in the epigastric region Pain worsens when stomach is empty (usually 2-5 hours after a meal) 11PM-2AM greatest acid secretion Feels better after eating/drinking but worsens 1 or 2 hours later Vomiting is rare unless pyloric stenosis is present
Gastric Ulcer Pain after eating Appetite changes (decrease) Weight loss Vomiting (after having a meal)
NON-INVASIVE -serology -13C-urea breath tests -faecal antigen test INVASIVE -histology (biopsy) -rapid urease tests -microbiological culture
1. Examination of blood 2. Examination of stool 3. Gastric function tests 4. Radiological Investigation 5. Endoscopy (diagnostic accuracy >95%)
Changing of lifestyle Quit smoking Hurry, worry, curry Eat slowly Take meditation programme or any programme to release stress Don’t eat too much of spicy food Quit eating smoked food
Drugs/blocker for peptic ulcer 1. Antacids 2. H2- receptor blocking drugs 3. M3-muscarinic receptors blocking drugs 4. Proglumide 5. Omeprazole
6. Sucralphate (basic aluminium salt of sucrose octasulphate) 7. Antibiotic 8. Vagotomy
Perforated peptic ulcer Gastrointestinal bleeding Coffee ground vomiting Gastric Outlet Obstruction
AK JAIN, MEDICAL PHYSIOLOGY TEXT BOOK, VOLUME 1, 3RD EDITION HARRISON’S VOLUME 2 S DAS TEXTBOOK OF SURGERY
CLINICAL MANIFESTATION OF. PEPTIC ULCER ... Although the clinical assessment is critical for overall management, ... No clinical features ...
peptic ulcer Peptic ulcer ... management. Some expect investigation, ... Some clinical features of dyspepsia may suggest that early
Acid peptic disorders include a ... It is also indicated for younger patients with alarm features such ... Guidelines for the Management of Peptic Ulcer ...
Identify the clinical features that help to distinguish the ... be a perforation of a peptic ulcer, ... and Management of the Acute Abdomen.
... based clinical management ... with alarm features should receive prompt investigation, ... B. Helicobacter pylori and peptic ulcer ...
Basal characteristics of endoscopic ulcers following gastrectomy. The clinical features ... gastrectomy with vagotomy as peptic ulcer ... investigation ...
Esophageal diseases & Peptic Ulcer. Jaundice Approach,investigation & management. Yasir M Khayyat. MBcHB,FRCPC,FACP. Assistant Professor of Medicine.
Peptic Ulcer Disease Features . ... methods in H pylori treatment and their clinical ... inhibitors in the management of peptic ulcer ...