2. Palpation:-
-Positive Mendel’s.
Piloten : we do palpation in epigastrium
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 : Nothing
-Biopsy
-CT Scan : In case of sever pain
-CLO Test : we give the patient Yellow juice (uria) to calculate uria and to know
about helecobacteria and the uria give it different color.
Resperatory Test: we make the patient blown paket and then we calculate the
isolation of CO2 if its (12 Normal) and if its (13 Ulcer)
3. *Reason of Ulcer: Investigation of Helicobacter pylori infiction*
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
-Anti acid
-Tripel therapy
