Pathophysiology of Gastric Ulcer Essay Example
Question
Your brother has been suffering from mid epigastric pain and nausea for the past 2 months. You accompany him to his doctor. On physical examination he has no abnormal findings save some mild vague epigastric discomfort on abdominal palpation. On upper GI endoscopy a solitary sharply demarcated 2-cm shallow gastric antral ulcer is seen.
1. Which of the following laboratory test (s) are most likely to be present in this man? Why?
A Gastric achlorhydria
B Positive serology for antinuclear antibody
C Positive urea breath test
D Increased plasma cortisol
E Elevated serum gastrin
2. Explain the association of gastric ulcers and a particular bacterium.
3. What is the name of this bacterium?
Thinking of the pathophysiology of gastric ulcers,
4. what treatment should be included to help prevent recurrences?
5. Where is another location one finds peptic ulcers commonly? (5 pts)
1. C. Positive urea breath test
Pathophysiology of gastric ulcer
The H. pylori bacteria weakens the protective mucous coating of the stomach , thus allowing acid to get through to the sensitive lining beneath. Both the acid and the bacteria irritate the lining and cause a sore, or ulcer.
4. Treatment and Preventable Measure
Avoid smoking cigarettes, tobacco , Avoid spicy food .
Take diet rich in fruits, vegetables, whole grains
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4 . TREATMENT PLAN
- Protein pump inhibiters
- Triple therapy – amoxicillin, clarithromycin and PPI For 7-14 days
1. C. Positive urea breath test
Step 2 of 3
The H. pylori bacteria weakens the protective mucous coating of the stomach , thus allowing acid to get through to the sensitive lining beneath. Both the acid and the bacteria irritate the lining and cause a sore, or ulcer.
4. Treatment and Preventable Measure
Avoid smoking cigarettes, tobacco , Avoid spicy food .
Take diet rich in fruits, vegetables, whole grains
Step 3 of 3
TREATMENT PLAN
- Protein pump inhibiters
- Triple therapy – amoxicillin, clarithromycin and PPI For 7-14 days