Sprint 12:34 PM Back Discussion 5 Discussion Case Background: A 35-year old acco

Question

Sprint 12:34 PM Back Discussion 5 Discussion Case Background: A 35-year old accountant presented to his physician with a steady burning pain just right of the mid-line of the abdominal region in an area from 1 to 4 inches above the "belly button." The pain usually followed meals by about 1-3 hours. He had several episodes of vomiting, which included frank blood. On physical examination, the patient had no fever. He appeared generally well. He had no evidence of weight loss. He showed slight rebound tenderness in the upper abdomen. An occult blood test revealed the presence of blood

Explanation / Answer

Gastric ulcer; occult bleeding, position of pain, timing of pain. Upper middle abdomen is where the stomach is located indicates peptic ulcer. Not many microbes are able to infect the stomach because of its acidity, and Helicobacter pylori is able to do this and can cause GERD, burping, pain, blood while vomiting (the symptom this patient exhibited), and also occult blood (which this patient had). Furthermore endoscopy and biopsy could be done to rule out other diseases. Helicobacter pylori a gram negative bacteria. Bismuth compounds (proton pump inhibitor like omeprazole, raberparazole etc) and antibiotic therapy; continuous monitor for bleeding; treatment would include endoscopy for staging of the ulcer, surgery if required and extensive damage is occurring.

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