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Published byAmanda Henderson Modified over 2 years ago
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Definition it is a excavation (hallow-out area) that forms in the mucosal wall of the stomach, duodenum or esophagus
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Age Gender H pylori Excessive HCL Stess Ingestion of milk, caffienated beverages Smoking Alcohol Spicy food Familial Group O people Chronic use of NSAID
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The gastroduodinal mucosal can not withstand the digestive action of gastric acid (HCL) and pepsin leading to erosion of mucosal or due to decrease resistance of the mucosa Zollinger-Ellison stndrome (severe peptic ulcers) Stress ulcers: proceeded by shock Cushing ulcer: Head injuries Curling ulcers: Excessive burn
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Pain: dull, gnawing pain, burning sensation in midepigastrum, usually relieved by eating,…, Pyrosis Vomiting Constipation or diarrhea Bleeding (occult blood, melena)
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Physical examination Barium study Endoscopy Stool for occult blood H-pylori test
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Pharmacological therapy Antibiotics Proton pump inhibitor Histamine2 receptor inhibitor Stress reduction and rest Smoking cessation Dietary modification Surgical management
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ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION
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