USMLE Forum Archives - USMLE Step 1 - GI ULCERS
GI ULCERS
drspleen - 03-17-11 18:08
A 38-year-old female with history of NSAID-induced gastric ulcers presents with a new episode of "gnawing" epigastric abdominal pain. She reports that the pain goes away shortly after meals and denies recent NSAID use. Which is the likely diagnosis?
* A. H. pylori induced ulcer in the gastric fundus
* B. Recurrent NSAID induced gastric ulcer
* C. H. pylori induced ulcer in the gastric antrum
* D. H. pylori induced ulcer in the second part of the duodenum
* E. H. pylori induced ulcer in the first part of the duodenum
drspleen - 03-17-11 18:08
A 38-year-old female with history of NSAID-induced gastric ulcers presents with a new episode of "gnawing" epigastric abdominal pain. She reports that the pain goes away shortly after meals and denies recent NSAID use. Which is the likely diagnosis?
* A. H. pylori induced ulcer in the gastric fundus
* B. Recurrent NSAID induced gastric ulcer
* C. H. pylori induced ulcer in the gastric antrum
* D. H. pylori induced ulcer in the second part of the duodenum
* E. H. pylori induced ulcer in the first part of the duodenum
The correct answer and explanation will be available after you answer.
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#3
Re: GI ULCERS babbu5508 - 03-18-11 19:21 My answer is: e.
She reports that the pain goes away shortly after meals....descriptive of duodenal ulcer.. usually by h.pylori..
#4
Re: GI ULCERS sudha2015 - 03-19-11 10:21 A 38-year-old female with history of NSAID-induced gastric ulcers presents with a new episode of "gnawing" epigastric abdominal pain. She reports that the pain goes away shortly after meals and denies recent NSAID use. Which is the likely diagnosis
e
#5
Re: GI ULCERS
drspleen - 03-21-11 18:42 NSAID induced gastric ulcers resolve with cessation of NSAID use. In this patient, the decrease in pain with meals (vs. increased pain) suggests a duodenal ulcer. The majority of DU’s are caused by H. pylori, and 90% occur in the 1st part of the duodenum.
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