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Peptic ulcer

Peptic ulcer. Definition it is a excavation (hallow-out area) that forms in the mucosal wall of the stomach, duodenum or esophagus. People at risk. Age Gender H pylori Excessive HCL Stess Ingestion of milk, caffienated beverages Smoking Alcohol Spicy food Familial Group O people

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Peptic ulcer

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  1. Peptic ulcer • Definition it is a excavation (hallow-out area) that forms in the mucosal wall of the stomach, duodenum or esophagus

  2. People at risk • Age • Gender • H pylori • Excessive HCL • Stess • Ingestion of milk, caffienated beverages • Smoking • Alcohol • Spicy food • Familial • Group O people • Chronic use of NSAID

  3. pathophysiology and etiology • 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

  4. Clinical Manifestations • Pain: dull, gnawing pain, burning sensation in midepigastrum, usually relieved by eating,…, • Pyrosis • Vomiting • Constipation or diarrhea • Bleeding (occult blood, melena)

  5. Diagnostic Evaluation • Physical examination • Barium study • Endoscopy • Stool for occult blood • H-pylori test

  6. Management • Pharmacological therapy • Antibiotics • Proton pump inhibitor • Histamine2 receptor inhibitor • Stress reduction and rest • Smoking cessation • Dietary modification • Surgical management

  7. Nursing Care Plan • ASSESSMENT • DIAGNOSIS • PLANNING • INTERVENTION • EVALUATION

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