Peptic ulcer physical examination

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Peptic ulcer Microchapters
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Guidelines for First line Treatment Strategies of Peptic Ulcer Disease for Providers in North America
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Guidelines to document H. pylori antimicrobial resistance in the North America
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Physical examination

In the initial evaluation look for:

• Signs of active blood loss:
  • Anemia: skin pallor, palpitations, tachycardia, hypotension, systolic murmur.
  • Hematemesis.
  • Melena.
  • Heme-positive stool.
• Weight loss (suggest cancer).
• Sings of acute abdomen (perforation):
  • Rebound tenderness
  • Board-like-abdomen
  • Hypoactive bowel sounds

References

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