Peptic ulcer (Clinical features, Investigation and Management) -physiology

100 %
0 %
Information about Peptic ulcer (Clinical features, Investigation and Management) -physiology

Published on March 13, 2014

Author: autumnpianist



Peptic Ulcer (Physiology)
-clinical features

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


Thank you

Add a comment

Related presentations

Related pages

Clinical Manifestation of Peptic Ulcer Disease

CLINICAL MANIFESTATION OF. PEPTIC ULCER ... Although the clinical assessment is critical for overall management, ... No clinical features ...
Read more

peptic ulcer Peptic ulcer

peptic ulcer Peptic ulcer ... management. Some expect investigation, ... Some clinical features of dyspepsia may suggest that early
Read more

Acid Peptic Disorders - Free Online CME Activities ...

Acid peptic disorders include a ... It is also indicated for younger patients with alarm features such ... Guidelines for the Management of Peptic Ulcer ...
Read more

The Acute Abdomen - Department of Electrical and Computer ...

Identify the clinical features that help to distinguish the ... be a perforation of a peptic ulcer, ... and Management of the Acute Abdomen.
Read more

An evidence-based approach to the management of ...

... based clinical management ... with alarm features should receive prompt investigation, ... B. Helicobacter pylori and peptic ulcer ...
Read more

Incidence and clinical features of endoscopic ulcers ...

Basal characteristics of endoscopic ulcers following gastrectomy. The clinical features ... gastrectomy with vagotomy as peptic ulcer ... investigation ...
Read more

Jaundice Approach,investigation and management

Esophageal diseases & Peptic Ulcer. Jaundice Approach,investigation & management. Yasir M Khayyat. MBcHB,FRCPC,FACP. Assistant Professor of Medicine.
Read more

Peptic Ulcer Disease Features - Index - Latest Medical ...

Peptic Ulcer Disease Features . ... methods in H pylori treatment and their clinical ... inhibitors in the management of peptic ulcer ...
Read more