CASE STUDY #2 (# 24) Instructions: Read the information below. Do not simply ans

Question

CASE STUDY #2 (# 24) Instructions: Read the information below. Do not simply answer the questions You will hand in your work on a separate piece of paper. Please put your information in paragraph form. Include any information you have found which helped you to answer your questions. The better job you do of explaining your results, the more points you will receive. Use as many resources as you can and be sure to cite them The patient was a 35-year-old man who consulted his physician because of upper abdominal pain. The pain was described as a steady burning or gnawing sensation, like a severe hunger pain. Usually it came on 1%-3 hours after eating, and sometimes it woke him from sleep. Generally, it was relieved in a few minutes by food or antacid medicines On examination, the patient appeared well, without evidence of weight loss. The only positive finding was tenderness slightly to the right of the midline in the uppermost part of the abdomen. A test of the patient's feces was positive for blood. The remaining laboratory tests were normal. Endoscopy showed a patchy redness of parts of the stomach lining. A biopsy was tak.cn. A biopsy was taken. The endoscopy tube was passed through the pylorus and into the duodenum. About 2 cm into the duodenum there was a lesion 8mm in diameter that lacked a mucous membrane and appeared to be "punched out." The base of the lesion was red and showed adherent blood clot. After the endoscopy, a biopsy portion was placed on urea-containing medium. Within a few minutes, the medium began to turn color, indicating a developing alkaline pH. I. What is the parient's dingnosis? 2. What would you expect microscopic examination and culture of the gastric mucosa biopsy to show? 3. Outline the pathogenesis of this patient's disease. 4. Why did it take so long for doctors to accept that this condition had an infectious ctiolog 5. What is the best treatment option for this patient?

Explanation / Answer

4- The delay in understanding the infectious etiology was driven by the fact that Patinet didnt show any remarkable symptom. As neither weight loss nor feeble look by appearnace.

5- It shows that patient has a problem of acidity or burning sensation, hence best treatment could be antacid or suggestion for healthy meal.

Related Questions

Navigate

• Browse (All)
• Browse C
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.