The clinical picture
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation


The clinical presentation can be quite varied, but here are biggies.
  • Gnawing, burning and/or aching epigastric pain.
  • The pain tends to be worse at night
  • The pain often develops 1-3 hours after eating during the day.
  • Pain is frequently relieved by antacids or food.
  • Nausea, vomiting, bloating and belching.
  • Weight loss.
  • Overt bleeding or melanotic stools, often leading to anemia.
  • With penetrating or perforating ulcers, the pain may be perceived to radiate to the back.


Complications
 

 

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