IPLab:Lab 3:Chronic Peptic Ulcer

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Clinical Summary

This 56-year-old white female was admitted to the hospital with a six-year history of epigastric pain and burning. This pain was said to be worse at night and on an empty stomach. The patient reported that the pain was relieved by drinking milk. She had also experienced several episodes of hematemesisHematemesis is the vomiting of blood. and melenaMelena is the passage of digested blood in the feces. since the onset of the pain, the last episode occurring 3 weeks prior to admission. The patient described intermittent episodes of colicky painColicky pain is an intermittent abdominal pain. in the right upper quadrant and right side of the abdomen, frequently radiating to the back and shoulders and often accompanied by "bilious vomitingBilious vomitus is vomitus which contains bile.." Physical examination was noncontributory except for tenderness in the epigastrium and right upper quadrant. An upper GI seriesAn upper GI series is a series of barium-aided radiographs involving the esophagus, stomach, and duodenum. showed changes suggestive of a neoplasm. The patient submitted to an abdominal exploration at which time a partial gastrectomy was performed.

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