Peptic ulcers usually present as chronic, upper abdominal pain related to eating a meal dyspepsia. Individuals treated with an acid suppressor should. Lorraines exam room, dozing after another night of disrupted sleep. Use of nonsteroidal antiinflammatory drugs nsaids and infection are the most common causes. Peptic ulcer disease symptoms, diagnosis and treatment. Jan 30, 2016 lesion may subsequently occur into the lamina propria and submucosa to cause bleeding. Rivera, rn peptic ulcer disease pud is a term used to describe a group of ulcerative disorders that occurs in areas of the gastrointestinal tract that are exposed to acidpepsin secretion. The research surrounding environmental and social conditions. In the largest study to date, the mean age for paediatric. Clinical study of peptic ulcer disease allied academies. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. It is also described as a break, or ulceration, in the protective. Pdf management of nsaidassociated peptic ulcer disease.
He was experiencing epigastric pain that radiated to his back, awakened him in the early hours. Use of nonsteroidal antiinflammatory drugs nsaids and helicobacter pylori infection are the most common causes there may be some epigastric tenderness, but often there are. Over the years he has been prescribed a variety of h2 receptor agonists, which he took whenever the epigastric pain developed. Peptic ulcer disease had a tremendous effect on morbidity and mortality until the last decades of the 20th century, when epidemiological trends started to point to an impressive fall in its incidence.
Read the following case study on gastrointestinal gi disorders. Peptic ulcer disease usually occurs in the stomach and proximal duodenum. This case study began 11112015 and concluded 12022015 with a primary medical and nutritional focus on fks perforated peptic ulcer and peptic ulcer disease. Treatment nearly all peptic ulcers will be treated with a proton pump inhibitor ppi like omeprazole, lansoprazole. Peptic ulcer disease pud occurs when the mucosal lining of the stomach. In patients who are asymptomatic and have no previous history of dyspepsia or peptic ulcer disease, testing and treatment of h. Jennifer brusewitz, nd peptic ulcer disease pud occurs when the mucosal lining of the stomach andor duodenum becomes inflamed, leading to a welldefined mucosal ulceration. Gi peptic ulcer case study peptic ulcers are a common disease affecting approximately 12% of americans. It interferes with the integrity of gastrointestinal mucosal layer within esophagus, stomach and proximal part of small intestine, called duodenum. Most of peptic ulcer occur either in the duodenum, or in the stomach ulcer may also occur in the lower esophagus due to reflexing of gastric content rarely in certain areas of the 5. Download as docx, pdf, txt or read online from scribd. A case on the digestive system its friday morning and sal volpe is sitting in dr.
Case study on peptic ulcer disease peptic ulcer nausea. Peptic ulcer russian federation pdf ppt case reports. The ultimate proof of h pylori as the main cause of ulcer disease was the permanent cure of peptic ulcers by eradication of the infection. A peptic ulcer disease a 52yearold mechanic presented with a 20year history of documented duodenal ulcer disease. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Obtaining a medical history, especially for peptic ulcer disease, h pylori infection, ingestion of nonsteroidal antiinflammatory drugs nsaids, or smoking, is essential in making the correct diagnosis. The present study includes 80 cases of pe ptic ulcer. Case study on peptic ulcer disease free download as powerpoint presentation. Peptic ulcer disease pud occurs when the mucosal lining of the stomach andor duodenum becomes inflamed, leading to a welldefined mucosal ulceration. This revolution, based on advances in cellular biology, pharmacology, and health care delivery, has changed forever the treatment of this major disease.
Simmons pathophysiology week 11 giliverpancreas cases for discussion case 11. Case study peptic ulcer free download as powerpoint presentation. Over the years he had been prescribed a variety of h 2 receptor antagonists, which he took whenever epigastric pain developed. The occurrence of peptic ulcer disease is similar in men and women. Case study peptic ulcer disease flashcards quizlet. Her medical history was significant for peptic ulcer disease, and the. Protocol for diagnosis and treatment of peptic ulcer in. Chronic peptic ulcer disease 24 sites of peptic ulcer. Interestingly, those at the highest risk of contracting peptic ulcer disease are those. Pathophysiology peptic ulcers are open sores that develop on the inside lining of your esophagus, stomach and the upper portion of your small intestine.
Gitu, md, florida state university college of medicine family medicine. Duodenum first portion usually toward the anterior wall is more often affected. After invention of the h2 blockers and proton pump inhibitors the role of elective surgery for duodenal ulcer has been drastically decreasing, but the incidence of perforation is not much changing. Apr 06, 2017 peptic ulcer disease case study katie dubois. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Ulcers are caused by an infection of a bacterium known as helicobacter pylori or h.
A case on the digestive system download case study with worksheet. A 33yearold male presented in my office with acute abdominal pain in the epigastric region. Mar 14, 2018 peptic ulcers disease case study solution peptic ulcers disease introduction the peptic ulcer disease pud which predominantly embraces both the duodenal and gastric ulcers, has been a major global health concern for many decades, with significant cases of morbidity and mortality. Case study peptic ulcer disease a 52 yr old mechanic presented with a 20 yr history of documented duedenal ulcer disease.
Healing the digestive tract with traditional naturopathy. Peptic ulcer is a hole or open sore in the lining of the stomach, duodenum beginning of the small intestine or oesophagus. Q8 is endoscopic treatment of the bleed more effective than drug treatment. Her medical history was significant for peptic ulcer disease, and the patient had. Introduction peptic ulcer disease represents a serious medical problem. Peptic ulcers are present in around 4% of the population.
They affect more than 4 million people in the united states each year. Ppt peptic ulcer disease pud pathophysiology powerpoint. Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. When nsaid use is stopped these ulcers do not recur. The reduction in peptic ulcer disease complications might be. If you continue browsing the site, you agree to the use of cookies on this website. Interestingly, some patients with peptic ulcer disease report relief of symptoms after fistula formation. Pdf peptic ulcer disease, as well as its myriad complications, is a common surgical problem encountered by. Peptic ulcers are sores in the lining of the stomach and the duodenum the first part of the small intestine.
The causes range from bacteria, to tumors, diet, and medication reactions. Peptic ulcers disease case study analysis medical science case. Treatment nearly all peptic ulcers will be treated with a proton pump inhibitor ppi like omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole, dexlansoprazole and h2 blockers like ranitidine, cimetidine, famotidine and nizatidine. Protocol for diagnosis and treatment of peptic ulcer in adults. The primary treatment at the first visit was cabbage juice. The predominant causes in the united states are infection with helicobacter pylori and use of nonsteroidal anti. Peptic ulcer articles case reports symptoms treatment, russian federation.
A 40yearold man presents to his primary care physician with a 2month history of intermittent upper abdominal pain. Case presentation on peptic ulcer digestion gastrointestinal tract. There may be some epigastric tenderness, but often there are no other signs on physical examination. Epidemiological studies revealed a very strong association between h pylori infection and duodenal and gastric ulcers.
Drug therapy in peptic ulcer disease the treatment of peptic ulcer disease has undergone a revolution in the past decade. The pain sometimes wakes him at night, is relieved by food and drinking milk, and is helped. Pdf a clinical study of peptic ulcer disease and its complications. This revolution, based on advances in cellular biology, pharmacology, and health care delivery, has changed forever the treatment of. This teachable moment examines the case of a man in his 70s who presented to the emergency department 2 weeks after discontinuation of proton pump inhibitors ppis to caution against abrupt ppi discontinuation in patients with multiple risk factors for peptic ulcer disease. Peptic ulcer disease pud is a term used to describe a group of ulcerative disorders that occurs in areas of the gastrointestinal tract that are exposed to acidpepsin secretion. Peptic ulcers disease case study solution peptic ulcers disease introduction the peptic ulcer disease pud which predominantly embraces both the duodenal and gastric ulcers, has been a major global health concern for many decades, with significant cases of morbidity and mortality. They newly began in around 53 million people in 2014. A free powerpoint ppt presentation displayed as a flash slide show on id. Approximately 500,000 new cases are reported each year, with 5 million people affected in the united states alone. In which of the following occupations, low stress or high stress, do you expect the highest incidence of pud. At the margins of a gastroenterostomy stomal ulcer in the duodenum, stomach or.
A complete workup of patient was done in emergency that revealed pulse rate of 110minute, blood pressure bp 11080 mm of hg, temperature 99. Nsai, aspirin, cortisone and cytotoxic drugs cigarette smoking. Since ulcers are associated with bacterial infection, antibiotic treatment should cure the symptoms. Helicobacter pylori hp in patients with suspected peptic ulcer disease pud. Always consult with your doctor or other health professional to make sure this information is right for you. A clinical case study duodenal ulcer perforation is the second most common abdominal emergency in our study. Lifestyle, stress, and genes in peptic ulcer disease.
Lesion may subsequently occur into the lamina propria and submucosa to cause bleeding. Peptic ulcer disease is an erosion or lesion in the lining of digestive tract. The 80 peptic ulcer disease patients were enrolled in to the study. A total of 80 patients with solitary peptic ulcer disease were studied. Start studying hesi case studies peptic ulcer disease. Rarely, the patient may develop pyloric stenosis from an ulcer of the pyloric channel and present with nausea, vomiting, early satiety, and a succussion splash on physical examination caused by gastric outlet obstruction.
Approximately 11%14% of men and 8%11% of women will develop peptic ulcer disease in their lifetime. Most studies do not show a significant difference in h. When the doctor knocks and walks in, she finds the 66yearold man looking exhausted and uncomfortable. Approximately 500,000 new cases are reported each year, with 5 million. Peptic ulcer disease pud is a disease of the gastrointestinal gi tract characterized by a break in the mucosal lining of the stomach or duodenum secondary to pepsin and gastric acid secretion, this damage is greater than 5 mm in size and with a depth reaching the submucosal layer. She was a known case of peptic ulcer disease and has been erratically on oral proton pump inhibitors from last 3 years. The mortality rate for peptic ulcer disease is approximately one death per 10,000 cases. This health information is for general education purposes only. Despite the constant attack on the gastroduodenal mucosa by noxious agents acid, pepsin, bile acids, pancreatic enzymes, drugs, and bacteria, integrity is maintained by a system that provides mucosal defense and repair. The combination of peptic ulcer symptoms with diarrhoea may indicate zollingerellison syndrome.
Gipeptic ulcer case study peptic ulcers are a common disease affecting approximately 12% of americans. Fks perforated peptic ulcer and peptic ulcer disease. This protocol may be used by general practitioners, family doctors, and nurses. Atypical presentation of perforated peptic ulcer disease. Drug study drug name classification indication contraindication adverse effect nsg. In conclusion, in spite of the vast advances in diagnosis and treatment of peptic ulcers, they still remain a. Stomach usually antrum toward the lesser curvature. The patient denied having signs and symptoms of melena, hematochezia, or hematemesis. Diagnosis and treatment of peptic ulcer disease and h.
Peptic ulcer disease peptic ulcer disease pathophysiology by. While the patient has several comorbidities, the gastric bleed and peptic ulcer disease will be the primary focus of the study. In which of the following occupations, low stress or high stress, do you expect the highest incidence. Compus physicians interactive education case studies. Mar 25, 2020 the global incidence and prevalence of peptic ulcer disease, along with the associated rates of hospitalizations and mortality, have been in decline over the past couple of decades, attributed in part to complex changes in the risk factors for peptic ulcer disease, including reductions in the prevalence of h pylori infection, the widespread use. The patient was chosen for this study due to the severity of his condition and underlying malnutrition. Gerd and peptic ulcer disease gerd and peptic ulcer disease august 29, 2011 peptic physiology peptic physiology gastroesophageal reflux disease. Study 26 terms hesi case studies peptic ulcer disease. Peptic ulcer disease case history bmj best practice. Doc peptic ulcer disease pathophysiologya case study.
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