Peptic Ulcer

Alternate Name:

Test:

Faecal blood (+ or -), Hb (N or L), C„ breath test(+), CLO test, gastric acid release after histamine stimulation (H or N), S.Helicobacter pylori anti­bodies (+ or -)

Sign:

Abdominal rigidity (perforated), coffee-groundsvomitus (penetrated), abdominal rebound tender­ness

Dd:

Peritonitis, pancreatitis, appendicitis, cholecystitis,pleurisy, myocardial infarct, pericarditis, oesopha­gitis, gastritis, intestinal carcinoma, Crohn's dis­ease, TB, sarcoidosis, mesenteric adenitis, lympho­ma, drugs, Zollinger-Ellison syn.

Phys:

Ulceration of the upper intestinal tract due to hy­persecretion of acid and/or decreased tissue re­sistance