CASE STUDY - 4 Ms. Johnson, age 57, was referred to the gastroenterologist for c

Question

CASE STUDY - 4 Ms. Johnson, age 57, was referred to the gastroenterologist for chronic digestive problems. For at least a year, she said, her stomach ached after eating a small meal. It seemed like the dull pain she experienced, and the sensation of fullness, had increased recently. Ms. Johnson also felt abdominal cramping, and sometimes nausea, at times other than after eating. After taking a complete history and performing a physical examination, the gastroenterologist ordered several tests. Her conclusion was that Ms. Johnson had chronic gastritis caused by an infection with a bacterium

QUESTIONS 1. What tests might the gastroenterologist have ordered, in order to help in her diagnosis?

2. What is the pathophysiology behind chronic gastritis?

3. What is the most common cause of chronic gastritis?

4. What other conditions sometimes the cause of chronic gastritis?

5. Mention at least two manifestations and two complications of chronic gastritis.

Explanation / Answer

Well the diagnosis will clealy depend upon the symptoms observed.

2. Chronic gastristis occurs when there is inflmmation in the stomach lining which might be with or without pain. When stomach lining is imflammated then there is lost in some og the protective cells and mucous erosion is also observed. Early satiety is causes which resulting in the felling of fulness even after thw consumption of only few bites.

3. The main cause of chronic gastritis is H. pylori bacterium which is associated with the tissue damage.

4. Other causes include HIV/AIDS, certain connective tissue diaorders, liver or kidney failures.

5. Symptoms:

Complications:

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