Cite this Apa Standard Harvard Vancouver BIBTEX RIS @article{771669ec3fbf4593bcd214047523073c, title "Disseminated histoplasmosis presenting with biliary obstruction and duodenal ulcer. [uthsc.pure.elsevier.com]

The present case reinforces the requirement for the early recognition and correct treatment of peptic ulcers accompanied with multiple complications. A 67-year-old man presented with recurrent abdominal pain, fever and melena. [spandidos-publications.com]

Presents practical, hands-on advice on selecting and implementing the latest surgical approaches from today’s preeminent general surgeons. [books.google.com]

Dilated stomach with delayed emptying and deformed cap was present in 3 cases. In 2 cases filling defect in the antral region was present. [jemds.com]

• Weight Loss

  The patients suffer the associated symptoms of recurrent episodes of emesis, persistent abdominal distention or fullness after eating, early satiety and weight loss. [spandidos-publications.com]

  In such cases even lesser amount of weight loss can become relatively significant like in our case. Diagnostic evaluation in these patients should begin with upper G.I. [ispub.com]

  Maldigestion and steatorrhea caused by pancreaticobiliary bypass, especially with Billroth II anastomosis, may contribute to weight loss. [merckmanuals.com]

  Recurrent vomiting, bloating sensation after meal, early satiety, weight loss Gastric outlet obstruction following gastric ulcer( due to fibrosis during healing) may present with those symptoms. [medicaljoyworks.com]

  The post-gastrectomy syndromes include: Small capacity or 'small stomach' syndrome - this is associated with fullness after only moderate-sized meals and may be associated with weight loss and reduced appetite. [patient.info]

• Arachnodactyly

  الصفحة 896 - Genetic linkage of the Marfan syndrome, ectopia lentis, and congenital contractural arachnodactyly to the fibrillin genes on chromosomes 15 and 5. N Engl J Med 1992;326:905-909. ‏ [books.google.com]

• Goiter

  Application of Sentinel Lymph Node Biopsy in Melanoma 1591 Surgical Treatment of Malignant Melanoma 1597 Surgical and Medical Management of Locally Advanced and Systemic Melanoma 1605 Soft Tissue Sarcomas of the Extremities and Chest Wall 1617 Endocrine 1629 Goiter [books.google.com]

• Vomiting

  She showed significant clinical improvement with resolution of vomiting and weight gain. [jdeonline.in]

  Vomiting- The symptoms of peptic ulcers may include vomiting. Vomiting after consumption of food may be caused by an ulcer, food poisoning, or gastritis (inflammation of the stomach lining). [alaskagi.com]

  Vomiting is intermittent, non bilious and occurs one hour after meals containing undigested foods. [medicaljoyworks.com]

  Nausea and Vomiting Obstruction of the duodenum can also cause patients to become nauseated and vomit. [livestrong.com]

  Clinical Sign and Symptoms Nausea and vomiting are the cardinal symptoms of GOO. Vomiting usually is described as nonbilious, and it characteristically contains undigested food particles. [laparoscopyhospital.com]

• Nausea

  Nausea- The symptoms of peptic ulcers may include nausea. Nausea is a feeling of sickness with an inclination to vomit. Nausea has many possible causes. [alaskagi.com]

  Nausea and Vomiting Obstruction of the duodenum can also cause patients to become nauseated and vomit. [livestrong.com]

  Some people may experience nausea, vomiting, constipation, diarrhea, and headaches after taking these. Other side effects may include bruising or bleeding. [medicalnewstoday.com]

  […] vomiting heartburn moody pms or vomiting heartburn moody pms or two and have had the following symptoms: nausea vomiting heartburn Make These 8 Simple Changes for a Healthy Fall Taking any of these may sound utterly strange at first but I was getting [transnationalterrorism.eu]

  The side effects of these antibiotic are usually mild and include: nausea, vomiting, diarrhoea, and a metallic taste in the mouth. [hse.ie]

• Abdominal Pain

  Abdominal pain, diarrhea, GI bleeding, hepatosplenomegaly and small bowel obstruction are well described presentations. Still gastrointestinal histoplasmosis often results in either vague symptomatology or no symptoms. [uthsc.pure.elsevier.com]

  Following anti-hemorrhagic and antibiotic treatments, the symptoms of fever and abdominal pain were relieved. [spandidos-publications.com]

  Can my upper abdominal pain be caused by other possibilities? Not all upper abdominal pain is due to peptic ulcer, gastritis or duodenitis. Your doctor can help you evaluate. [singhealth.com.sg]

  In patients in whom abdominal pain is the major clinical symptom, difficulties related to the characterization of pain and to the high prevalence of functional abdominal pain may delay the diagnosis. [scielo.br]

  Gastric ulcers cause abdominal pain which aggravate with meals. So this goes as a cycle leading to increase morbidity. [medicaljoyworks.com]

• Epigastric Pain

  pain, radiating to the back.pain is unreleated to mealds. [quizlet.com]

  Perforation Perforation should be considered in patients presenting with sudden onset intense epigastric pain, particularly if there is rigidity of the abdominal wall. [medicalguidelines.msf.org]

  CASE REPORT A 31 year old male was admitted to our institution with a 1 year history of recurrent epigastric pain and an acute episode of vomiting. Epigastric pain was characterized as intermittent, mild and gnawing in character. [wjgnet.com]

  Symptoms include epigastric pain that often cause awakening of patient at night, heartburn, loss of an appetite, weight loss and may lead to complications like gastric obstruction, perforations and bleeding. [medcraveonline.com]

  Case Reports Case 1 A 50-year-old female presented with history of epigastric pain, recurrent vomiting and significant weight loss since 4 months. [jdeonline.in]

• Recurrent Vomiting

  Case Reports Case 1 A 50-year-old female presented with history of epigastric pain, recurrent vomiting and significant weight loss since 4 months. [jdeonline.in]

  Individuals with gastric outlet obstruction will often have recurrent vomiting of food that has accumulated in the stomach, but which cannot pass into the small intestine due to the obstruction. [en.wikipedia.org]

  Recurrent vomiting, bloating sensation after meal, early satiety, weight loss Gastric outlet obstruction following gastric ulcer( due to fibrosis during healing) may present with those symptoms. [medicaljoyworks.com]

  vomiting, or a family history of GI cancer. [clinicaladvisor.com]

  Recent sustained weight loss, progressive dysphagia or odynophagia, recurrent vomiting – with or without pain – should raise the suspicion of an outlet obstruction from a duodenal ulcer. [cancertherapyadvisor.com]

• Hepatosplenomegaly

  Abdominal pain, diarrhea, GI bleeding, hepatosplenomegaly and small bowel obstruction are well described presentations. Still gastrointestinal histoplasmosis often results in either vague symptomatology or no symptoms. [uthsc.pure.elsevier.com]

  On physical examination the patient was somnolent, tachypneic (respiratory rate: 40cpm), tachycardic (heart rate: 127bpm), normotensive, febrile (axillary temperature: 37.8 C), with hepatosplenomegaly and bilateral ankle edema. [revportcardiol.org]

• Ectopia Lentis

  الصفحة 896 - Genetic linkage of the Marfan syndrome, ectopia lentis, and congenital contractural arachnodactyly to the fibrillin genes on chromosomes 15 and 5. N Engl J Med 1992;326:905-909. ‏ [books.google.com]

• Neglect

  If affected patients neglect the warning symptoms (e.g. epigastric discomfort, abdominal pain associated with eating, pain that causes awakening at night, weight loss, loss of appetite and melena) and receive no effective treatment for the peptic ulcer [spandidos-publications.com]

You might have to undergo a more extensive medical workup looking for unusual underlying causes for peptic ulcer disease. [verywell.com]

WORKUP Laboratory Studies • Obtain a CBC. Check the hemoglobin and hematocrit to. rule out the possibility of anemia. • Obtain an electrolyte panel. [slideshare.net]

As part of the initial workup, exclude the possibility of functional nonmechanical causes of obstruction, such as diabetic gastroparesis. [emedicine.medscape.com]

• Mediastinal Mass

  Masses 1409 Pediatric 1419 Neonatal Bowel Obstruction 1421 Anomalies of Bowel Rotation Malrotation and Midgut Volvulus 1433 Abdominal Wall Defects Omphalocele and Gastroschisis 1439 Hypertrophic Pyloric Stenosis 1447 Intussusception 1455 Meckels Diverticulum [books.google.com]

Possible treatments for this disease include conservative treatment with drugs, endoscopic sphincterotomy and surgical therapy. The choice is based on the etiology, the severity of the disease and the patient's general condition. [spandidos-publications.com]

Features nearly 300 succinct, well-illustrated chapters that summarize today’s best treatment and management advice for a wide variety of diseases and associated surgeries. [books.google.com]

Surgical treatment The choice of surgical treatment depends on the size and localization of the perforation, the viability of the duodenal walls, the degree of local contamination and underlying etiology. [tandfonline.com]

Prognosis A functioning and unrestricted intestine is a prerequisite for living independent of the most advanced and continuous medical care available. Achieving this desirable goal is the rule with surgery for duodenal obstructions of all types. [medical-dictionary.thefreedictionary.com]

Prognosis Over the past 3 decades, the prognosis of patients with gastric perforation has improved. But delays in diagnosis and treatment can lead to death. [ncbi.nlm.nih.gov]

Prognosis Prognosis will depend on the type and extent of the obstruction, the infant's age at diagnosis, the infant's overall condition, and the presence and severity of any other congenital anomalies. [encyclopedia.com]

In the rare cases when surgery cannot be done, prognosis is poor. Obstruction may be caused by scarring, spasm, or inflammation from an ulcer. [merckmanuals.com]

The choice is based on the etiology, the severity of the disease and the patient's general condition. [spandidos-publications.com]

Etiology Risk factors Chronic gastritis caused by H. pylori, a curved, flagellated gram-negative rod Duodenal ulcers : up to 90% are due to H. pylori infection Gastric ulcers : up to 80% are due to H. pylori infection Chronic gastritis of other etiology [amboss.com]

Pathology Etiology Gastric outlet obstruction can be due to malignant or benign causes. [radiopaedia.org]

The incidence of GOO in patients with peripancreatic malignancy, the most common malignant etiology, has been reported between 15- 20%. [tropicalgastro.com]

Etiology of PUD However, we must remember that approximately 5-15% of patients considered Hp negative, despite performing wide comprehensive etiological studies, do not get to find again the precise cause of PU, which are referred to as "idiopathic”. [elynsgroup.com]

Management of Chronic Peripheral Arterial Occlusive Disease 1811 Visceral Artery Occlusive Disease Mesenteric Occlusive Disease 1827 Acute Arterial Occlusions 1837 Venous and Lymphatic Disease 1847 Vascular Access for Hemodialysis 1861 The Diabetic Foot Epidemiology [books.google.com]

Reference article This is a summary article; read more in our article on peptic ulcer disease. anatomy stomach epidemiology older population with M:F ratio of 3:1 main risk factors H. pylori NSAID and corticosteroid use severe physical stress presentation [radiopaedia.org]

(An excellent review of the epidemiology of GBS disease prior to the publication of prevention guidelines for neonatal GBS disease) Schuchat, A. “Epidemiology of group B streptococcal disease in the United States: shifting paradigms”. [infectiousdiseaseadvisor.com]

To critically review the evidence on epidemiology, diagnostic management, and available treatments for PUD in the pediatric age. Methods. [hindawi.com]

Approaches each topic using the same easy-to-follow format : disease presentation, pathophysiology, and diagnostics, followed by surgical therapy. Discusses which approach to take, how to avoid or minimize complications, and what outcomes to expect. [books.google.com]

[…] main risk factors H. pylori NSAID and corticosteroid use severe physical stress presentation dyspeptic symptoms haemorrhage (14%) incidental (faecal-occult blood) acute (melaena, haematemesis, or both) perforation (6%) gastric-outlet obstruction (rare) pathophysiology [radiopaedia.org]

Delayed gastric emptying, increased intragastric pH, and reflux of the duodenal contents into the stomach are factors indicative of the pathophysiology of gastric candidiasis after gastric surgery. [dbpia.co.kr]

Malignant Tumours of the stomach, including adenocarcinoma (and its linitis plastica variant), lymphoma, and gastrointestinal stromal tumours Pathophysiology[edit] In a peptic ulcer it is believed to be a result of edema and scarring of the ulcer, followed [en.wikipedia.org]

[…] ulcer bleeding secondary to NSAID use; however, no clinical data is available that proves that this strategy prevents ulcer complication No study has evaluated the efficacy of H2RAs in chronic NSAID users Less effective than proton pump inhibitors (PPIs [specialty.mims.com]

The use of intrapartum antibiotics for selective high-risk patients, while being sufficient for the prevention of early onset GBS disease, has been found to be insufficient for prevention of late onset GBS disease. [hindawi.com]

The data will be important in the detection, prevention, treatment and vaccination against this microorganism. Project Code PI13/00127 [isglobal.org]

Oversew the area with a continuous suture to prevent a postoperative leak. No drainage procedure is required. E. Complications 1. [laparoscopyhospital.com]

Treatment of the esophagus, stomach or duodenal ulcersaims to relieve pain, heal the ulcer, and prevent complications. [medicinenet.com]