Produced by breakdown in gastric or duodenal mucosal defenses
Imbalance exists between production of acid and ability of mucosa to prevent damage.
Epigastric pain or tenderness (80–90%):
Burning, gnawing, aching pain
Location: midline, xiphoid, or umbilicus
Pain occurs 90 min–3 hr after meals
IV fluid resuscitation for hypotensive/shock patients
Identify ulcer complications (hemorrhage, perforation, obstruction)
Treat hypotension wit...
Active upper GI bleed
Anemia requiring transfusion
Unremarkable physical exam with normal CB...
H. pylori is the most common cause of PUD.
NSAID-induced PUD is frequently silent.
Dyspeptic symptoms are nonspecific.
Endoscopy is diagnostic and should include H. pylori screening.
Chey WD, Wong BC, Practice Parameters Committee of the American College of Gastroenterology. American College of Gastroenterology guideline on the management of Helicobacter pylor...
531.30 Acute gastric ulcer without mention of hemorrhage or perforation, without mention of obstruction
532.30 Acute duodenal ulcer without mention of hemorrhage or perforation, without menti...
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