Peptic ulcers, gastritis, and duodenitis (pediatrics) Quiz: Ace Your Exams
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A 12-year-old girl presents with a 3-month history of intermittent epigastric pain that worsens between meals and at night. The pain is partially relieved by eating and occasionally accompanied by nausea. The patient reports no vomiting or diarrhea but recently noticed dark, tarry stools. The family emigrated from Vietnam two years ago, and the father has a history of peptic ulcer disease (PUD). Vitals are within normal limits. On examination, the child appears pale, with mild tenderness in the epigastric region without guarding or rebound. Laboratory results are shown below. An esophagogastroduodenoscopy (EGD) reveals an ulcer in the gastric antrum, and biopsies are taken. Which of the following is most likely to be seen on histology after biopsy of the gastric mucosa?
| Laboratory Test | Result |
| Hemoglobin | 9.5 g/dL |
| Hematocrit | 28% |
| Stool guaiac test | Positive |
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