Concepts of Gastrointestinal and Hepatobiliary Disorders: Peptic ulcer
Scenario 1: Peptic Ulcer
A 65-year-old female comes to the clinic with a complaint of abdominal pain in the epigastric area. The pain has been persistent for two weeks. The pain described as burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious bleeding. She admits to frequent belching with bloating.
PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,
Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history: Separated recently pending divorce; stressful situation with trying to manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
Questions:
1. Explain what contributed to the development from this patient’s history of PUD?
References should be 4 to5.
Scenario 1 Peptic Ulcer -Concepts of Gastrointestinal and Hepatobiliary Disorders
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NURS 6501
Instructor
Due Date
1 Explain what contributed to the development from this patient’s history of PUD?
Scenario 1 Peptic Ulcer Concepts of Gastrointestinal and Hepatobiliary Disorders
The patient was diagnosed with Peptic Ulcer Disease (PUD) and complained of abdominal pain. A peptic ulcer is a sore forming on the stomach lining, esophagus, or small intestine and mainly occurs when there is inflammation or stomach acid erosion. Ibuprofen is a pain reliever that is part of the nonsteroidal anti-inflammatory drugs (NSAID), and this class of drugs increases the risk of PUD. The main risk factor in subjects with PUD includes smoking, age over 65 years, smoking NSAIDs, helicobacter pylori bacteria, and chronic sinusitis. Besides smoking and alcohol, other environmental risk factors are stress, spices, coffee and nutrition (Babaei et al., 2017). Helicobacter pylori can cause gastritis and peptic ulcers, and this is especially when there is a chronic infection causing inflammation (McCance & Huether, 2019).
The presence of three or more risk factors is the main cause of PUD recurring. There are different causes of chronic sinus issues, including bacterial infection that increases the risk of H pylori, and antibiotics are often used to eliminate bacterial infections, allergy symptoms, and chronic sinusitis. Clinical history on NSAID use and whether there have been previo...
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