Summary of Peptic ulcer
Peptic ulcer disease (PUD), also known as a peptic ulcer or stomach ulcer, is a break in the lining of the stomach, first part of the small intestine, or occasionally the lower esophagus. An ulcer in the stomach is known as a gastric ulcer while that in the first part of the intestines is known as a duodenal ulcer. The most common symptoms are waking at night with upper abdominal pain or upper abdominal pain. The pain typically improves with eating in patients with duodenal ulcers, but can worsen in patients with stomach ulcers. Other symptoms include belching, vomiting, weight loss, or poor appetite. About a third of older people have no symptoms. Complications may include bleeding, perforation, and blockage of the stomach.
Flashcards on Peptic ulcer
Peptic ulcer disease is the most common cause of iron deficiency anemia in (age and sex)
Questions on Peptic ulcer
A 52-year-old man comes to the emergency department because of severe abdominal pain. He has felt this pain for months, but it has become intolerable over the last 7 hours. He has a history of gastroesophageal reflux disease (GERD), hypertension, and diabetes. He says that eating exacerbates the pain. He thought he was just having some indigestion and would take some antacids for relief. However, since the pain worsened, he is now having trouble moving. His temperature is 39.1°C (102.5°F), pulse is 115/min, and blood pressure is 135/75 mm Hg. He appears to be in severe distress, secondary to pain, and refuses to straighten his legs because it hurts too much. He has diffuse guarding and rebound tenderness. An upright chest radiograph shows free air under the right diaphragm. Which of the following is the most likely cause of the patient’s symptoms?