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Assignment:
CASE
A 23 year old male visited the clinic with complaints of an upper abdominal pain, heartburn, nausea and occasional vomiting. He also had an episode of loose bowel movement. He was in usual state of health 5 days back when he started having epigastric pain. Pain aggravated at night after taking large meal. He took naproxen to relieve the pain for 2 days, but without significant effect, hence consult. His father had a family history of peptic ulcer disease. He was fond of fried and spicy food. He denied cigarette smoking and alcoholic beverage drinking.
General examination
Weight: 58kg
Height: 5feet 8inches
BMI: 19.44kg/m2
Temperature: 36.6°C
BP: 120/70mmHg
Laboratory
Hemoglobin (13.5g/dl)
Negative occult blood in stools
Guide questions
1. What are your differentials and main impression? Explain why.
2. What other diagnostic tests must be done to confirm your impression? Discuss the principles.
3. Describe the characteristic features of the etiologic agent.
4. Discuss the pathophysiology of the disease.
5. Give the pharmacologic and non-pharmacologic management for this case.
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