Peptic ulcer physical examination
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Peptic ulcer Microchapters |
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2017 ACG Guidelines for Peptic Ulcer Disease |
Guidelines for the Indications to Test for, and to Treat, H. pylori Infection |
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Guidelines to document H. pylori antimicrobial resistance in the North America |
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Guidelines for when to test for treatment success after H. pylori eradication therapy |
Guidelines for penicillin allergy in patients with H. pylori infection |
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Physical examination
In the initial evaluation look for[1]:
- Signs of active blood loss:
- Anemia: skin pallor, palpitations, tachycardia, hypotension, systolic murmur.
- Hematemesis.
- Melena.
- Heme-positive stool.
- Anorexia or wight loss (suggest cancer).
- Sings of acute abdomen (perforation):
- Rebound tenderness
- Board-like-abdomen
- Hypoactive bowel sounds
References
- ↑ Ramakrishnan K, Salinas RC (2007). "Peptic ulcer disease". Am Fam Physician. 76 (7): 1005–12. PMID 17956071.