Peptic Ulcer.docx

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AhmedElmadana2

Peptic Ulcer

Education

Palpation:-
-Positive Mendel’s.
Percussion:-
No change
Auscultation:-
No Change
Labaratory Test :-
-Leukocytosis with left shift formula
-Biochemical : Increase creatinine
-Blood Serology : anti bodies to helico.bacter
-General urine analysis : Protienuria , Cylnders, erythrosits
-PH Meter : Increase acidity
Instrumental examination
-Endoscopy : Showes anastamosis
-Biopsy
-CT Scan : In case of sever pain

Deffrential Diagnosis:-
Peptic Ulcer Residual Ulcer
Complaints Chronic abdomen pain
-Nausia
-Dispepsia
-Vomting
Chronic abdomen pain
-Nausia
-Dispepsia
-Vomting
Anamnesis morbi -Chronic pain
-1 Mounth
-Anti Acid
-Chronic pain
-1 Mounth
-Anti Acid
Anamnsis vitae -Excessive Food
-Alcohol intake
-Previous history of surgery
abdominal
-Excessive Food
-Alcohol intake
-Previous history of surgery
abdominal
Labaratory Test -Leukocytosis with left shift formula
-Biochemical : Increase creatinine
-Blood Serology : anti bodies to
helico.bacter
-General urine analysis : Protienuria ,
Cylnders, erythrosits
-PH Meter : Increase acidity
-Leukocytosis with left shift
formula
-Biochemical : Increase creatinine
-Blood Serology : anti bodies to
helico.bacter
-General urine analysis :
Protienuria , Cylnders, erythrosits
-PH Meter : Increase acidity
Treatment:-
-Plan hospitalization to surgery department
-Plan operation
-Laparatomy : Resection of Ulcer
-Analgesics
-Relax

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Peptic Ulcer.docx

1. Peptic Ulcer (after Anastamusis) Complaints:- Chronic abdomen pain -Nausia -Dispepsia -Vomting Anamnesis morbi;- -Chronic pain -1 Mounth -Anti Acid Anamnesis Vitae:- -Excessive Food -Alcohol intake -Previous history of surgery abdominal Physical examination :- -Visual inspection. -Scar -Pale skin -Surgery scar in abdomen

2. Palpation:- -Positive Mendel’s. Percussion:- No change Auscultation:- No Change Labaratory Test :- -Leukocytosis with left shift formula -Biochemical : Increase creatinine -Blood Serology : anti bodies to helico.bacter -General urine analysis : Protienuria , Cylnders, erythrosits -PH Meter : Increase acidity Instrumental examination -Endoscopy : Showes anastamosis -Biopsy -CT Scan : In case of sever pain

3. Deffrential Diagnosis:- Peptic Ulcer Residual Ulcer Complaints Chronic abdomen pain -Nausia -Dispepsia -Vomting Chronic abdomen pain -Nausia -Dispepsia -Vomting Anamnesis morbi -Chronic pain -1 Mounth -Anti Acid -Chronic pain -1 Mounth -Anti Acid Anamnsis vitae -Excessive Food -Alcohol intake -Previous history of surgery abdominal -Excessive Food -Alcohol intake -Previous history of surgery abdominal Labaratory Test -Leukocytosis with left shift formula -Biochemical : Increase creatinine -Blood Serology : anti bodies to helico.bacter -General urine analysis : Protienuria , Cylnders, erythrosits -PH Meter : Increase acidity -Leukocytosis with left shift formula -Biochemical : Increase creatinine -Blood Serology : anti bodies to helico.bacter -General urine analysis : Protienuria , Cylnders, erythrosits -PH Meter : Increase acidity Treatment:- -Plan hospitalization to surgery department -Plan operation -Laparatomy : Resection of Ulcer -Analgesics -Relax

Peptic Ulcer.docx

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