RT Book, Section
A1 Smith, Mindy A.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164347620
T1 Peptic Ulcer Disease
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164347620
RD 2024/04/24
AB A  41-year-old  man  presents  with  a  4-month  history  of  epigastric  pain.  The  pain  is  dull,  achy,  and  intermittent;  there  is  no  radiation  of  the  pain  and  it  has  not  changed  in  character  since  it  began.  Coffee  intake  seems  to  exacerbate  the  symptoms,  whereas  eating  or  drinking  milk  helps.  Infrequently,  he  is  awakened  at  night  by  the  pain.  He  reports  no  weight  loss,  vomiting,  melena,  or  hematochezia.  On  examination,  there  is  mild  epigastric  tenderness  with  no  rebound  or  guarding.  The  remainder  of  the  examination  is  unremarkable.  A  stool  antigen  test  is  positive  for  Helicobacter  pylori,  and  the  patient  is  treated  for  peptic  ulcer  disease  with  eradication  therapy.