Peptic ulcer case study pdf

A Lawsuit with Peptic Ulcer Disease: Recovery that Digestion Area with Regular Naturopathy

GROUP 7

Pamintuan, Adie Kim


Quetua, Francesca Marie
Robles, Ma. Cecilia
Santos, Amalia
Tapaoan, Symphony Jane

CASE 1
(FINALS)

CHIEF COMPLAINT
My belly provides ended up harming regarding the
past period. About any saturday I
noticed my personal by a bowel moves were
black plus tarry.

PATIENT DEMOGRAPHICS
William Smith
Male
62 decades old
Height: 59
Weight: 102kg

HISTORY Regarding PRESENT
ILLNESS
Intermittent burning up epigastric peptic ulcer case go through pdf intended for far more as opposed to 2
months.
Intermittent belching, puffed up, low as soon as walking
and a sick stomach following eating.
Pain for most suitable epigastrium, more serious with meals.

HISTORY Involving PRESENT
ILLNESS
Dark, tarry intestinal movements
No PUD or GI bleeding
Certainly no anorexia or vomiting

PAST Medical related HISTORY


COPD (Chronic Obstructive Pulmonary Disease) by 10
years
DM (Diabetes Mellitus) by 10 years
Arthritis by 15 yrs (right shoulder)

FAMILY HISTORY

Pops deceased within 55: Extreme Myocardial Infarction (MI)


Mommy was killed for 65: Lung Malignancy (CA)
3 siblings lively in addition to well

SOCIAL HISTORY
Accountant
Attached in addition to offers 3 daughters
Cigarette smoking stogie occasionally
Beverages peptic ulcer lawsuit analysis pdf per week

REVIEW From SYSTEMS
Unremarkable besides meant for conditions taken into account above

ALLERGY: Penicillins hives


PHYSICAL EXAMINATION: Typical Chubby person on moderate
distress
SKIN: Cozy as well as dry
HEENT: PERRLA, EOMI, vertebrae smooth, no Av nicking, hemorrhages, or
exudates
CHEST: Bilateral rhonchi, faint wheezes

REVIEW About SYSTEMS
CARDIOVASCULAR: S1, S2 normal; very little MRG
ABDOMEN: Typical bowel tones in addition to delicate epigastric tenderness;
liver dimension normal; absolutely no splenomegaly as well as loads observed
RECTAL: Nontender,; melenic stools came across within rectal vault; stool
heme (+)
EXTENSION: Regular Rom except for intended for constrained appropriate shoulder
movement
NEURO: CN II-XII unchanged, DTRs Only two + throughout

VITAL SIGNS
Maintain PRESSURE: 120/62
PULSE: 109
Breathing RATE:18
TEMPERATURE:37.9

LABORATORY RESULTS
RESULTS
Sodium 144 meq/l
HEMOGLOBIN 9.2 g/dl
Calcium 9.2 mg/dl
POTASSIUM 3.9 meq/l
HEMATOCRIT 26.2%
MAGNESIUM 2.0 meq/l

REMARKS
X

X
X

LABORATORY RESULTS
RESULTS
CHLORIDE 98 meq/l
Iron 1949 mcg/dl
PHOSPHORUS 4.0mg/dl
Co2 DIOXIDE

REMARKS
X

LABORATORY RESULTS
RESULTS

REMARKS

ALBUMIN 3.9 g/dL

BLOOD UREA NITROGEN 10 mg/dL

FASTING Bloodstream Carbohydrates 154 mg/dL

MEAN CORPUSCULAR VOL 74 mm3

PLATELET 230 Times 103 /mm3


RETICULOCYTES 0.3%
SERUM The occasion for the actual seashore essay 1.1 mg/dL
WHITE Maintain Cellular material 8.4 by 103/mm3

X
X

DIAGNOSTIC PROCEDURES
Endoscopy
6-mm ulcer with this gastric antrum
Peripheral Continue Smear
(+) intended for Microcytic anemia

ABBREVIATIONS
PUD Peptic Ulcer Disease
GI Gastrointestinal
PERRLA -Pupils Even, Through, Reactive to make sure you Brightness and also Accommodation
EOMI Excess ocular Exercises Intact
Audio-video Atriovenous
Rom Range of Motion
CN Cranial Nerve
DTR Heavy Tendons Reflex

MEDICATIONS
DRUGS
METFORMIN
(Glucophage)

MOA

INDICATION

Reduce hepatic glucose


through activation of
AMPK

Type II Diabetes

Lactic acidosis,
CHF,
hypoxic/acidotic
states

Irreversible inactivation
of all the cyclooxygenase
(COX) enzyme

Reduce fever in addition to relieve


mild towards modest pain
from disorders these as
muscle aches

Stomach upset,
heartburn

Short operating muscarinic


antagonist

Long-term treatment method of
reversible
bronchospasm
associated with COPD

urinary tract
infection, upper
respiratory tract
infection, sinusitis,
bronchitis, and
exacerbation of
COPD

500mg PO BID
ASA
(Aspirin EC)
325mg PO once
daily
IPRATROPIUM
MDI
(Atrovent)
2 puffs 4x news article content related to health and wellness essay MDI
(Ventolin)
2 puffs PRN
IBUPROFEN
(Advil)

MOA

INDICATION

Short-acting,
selective B2adrenergic receptor
agonist

Asthma as well as COPD

Acute virus regarding the


nose, neck, sinus,
fast heartbeat,
feeling of throwing up

Related to help you (NSAIDs),
prostaglandin
synthetase inhibition

Usedto greatly reduce fever


and take care of anguish or
inflammation

Hemorrhage,
vomiting,
hypertension,
eosinophilia, and
anemia

Neutralizes gastric
pH

Heartburn, acid
indigestion, sour
stomach, upset
stomach

Nausea, constipation,
diarrhea, headache

200mg Only two tabs PRN


Mg Hydroxide, Al
Hydroxide
(Maalox)
1 tbsp.

Peptic ulcer lawsuit analysis pdf INTERACTION
Alcohol consumption & metformin
-causes Lactic acidosis
Ibuprofen & Aspirin
- strengthen an individual's financial risk connected with establishing gastrointestinal ulcers and bleeding
- could trigger severe abs suffering, trapped wind, reduction from urge for food, and/or black,
tarry stools
Albuterol & Magnesium Hydroxide (MAALOX)
- occasional middle tempo which could end up substantial not to mention often times life-threatening:
risk might be raised in the event that you actually include decreased bloodstream tiers about magnesium or simply potassium

ASSESMENT
PHYSIOLOGY
STOMACH

Breaks down huge meals debris within smaller pieces


so that these can be refined far more without difficulty.

It all is
intraperitonal and additionally located inside the particular positioned epigastric countries of
the abdomen.

Hydrochloric acid
-secreted through the parietal tissues throughout that body for the
stomach.

PATHOPHYSIOLOGY

Peptic ulcer
- can be any circumscribed burning with the mucus
membrane connected with this GIT pros plus negative aspects about efficiency enhancing medication essay exposed
to gastric juices formulated with acid solution & pepsin.
Peptic ulcer happen many standard in:
-esophagus
-stomach*

Imbalance Of This particular Factors


Causes Peptic Ulcer Disease:
Violent factors
-bile, chemical and pepsin
Preventative factors
-mucus, bicarbonates and even PG

Other contributory factors:

Helicobacter pylori

NSAIDs

Stress

Ethanol

Tobacco

Complications articles about incorporation latest you are able to structure essay PUD
1.

Much a great deal more when compared to documents.

Bleeding
- happens with 25-30% in patients
-most widespread complication and additionally it's possible living threatening
-account to get 25% regarding ulcers deaths
2.

Perforation
-occurs around peptic ulcer claim review pdf 5% connected with this patients
-accounts to get 2/3 with ulcer deaths
3. Impediment articles dual singular essay edema or perhaps scarring

PHARMACOTHERAPHY
Misoprostol
-may end up being utilized so that you can avert gastric ulcers instigated by means of non-steroidal
anti- inflammatory drugs.

Give consideration to that will all the relationship will probably end up possible to avoid if


ibuprofen is normally taken extra when compared with after mike elevated day-to-day lives upon the particular boundary article format Avoid ibuprofen in the event achievable or simply give it again A couple of days right after aspirin.
Think about alternative: Acetaminophen* decreases serious pain and
lowersfevers.

Different from aspirin as well as other sorts of NSAIDS,
acetaminophen is certainly assumed in order to possibly be secure to get most people utilizing ulcers.

NON-PHARMACOTHERAPY
Direct that person that will your smoking-cessation program
Worry Reduction
Reduction about diet irritants (Alcohol)
Vigorous activitycan enable help reduce certain choices of
discomfort, this type of because arthritispain.

REFERENCES
-MEDSCAPE
-WEBMD
-DRUGS.COM
-MEDLINEPLUS Health care ENCYLOPEDIA
-Katzung et.al., Important along with Analysis and Pharmacology (p.

355 &757)

  

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