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How a peptic ulcer develops
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How a peptic ulcer develops

Treatment ●Treatment of the underlying etiology •Patients with peptic ulcer disease should be tested for Helicobacter pylori (H. pylori). Patients with H. pylori should be treated with a goal of eradication of H. pylori infection. In patients treated for H. pylori, eradication of infection should be confirmed four or more weeks after the completion of eradication therapy. •Patients with peptic ulcers should be […]
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Biliary colic (gallbladder attack) – causes, symptoms, diagnosis, treatment, pathology
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Biliary colic (gallbladder attack) – causes, symptoms, diagnosis, treatment, pathology

Approach to the management of gallstones Most individuals with gallstones are asymptomatic throughout their life and gallstones are found incidentally. The approach to the management of patients with gallstones depends upon the patient’s symptoms, imaging test findings, and whether complications are present. Gallstone complications include acute cholecystitis, cholangitis, gallstone pancreatitis, gallstone ileus, and Mirizzi syndrome. […]
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Murphy’s sign – clinical examination

Overview of gallstone disease in adults ●Clinical presentation •Asymptomatic The majority of patients with gallstones are asymptomatic and will remain so throughout their lives. Of those with incidental (asymptomatic) gallstones, approximately 15 to 25 percent will become symptomatic after 10 to 15 years of follow-up.    •Biliary colic Patients with symptomatic uncomplicated gallstone disease typically […]
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Peptic ulcer disease – causes, symptoms, diagnosis, treatment, pathology
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Peptic ulcer disease – causes, symptoms, diagnosis, treatment, pathology

Prevention of recurrence •The need for aspirin and NSAIDs should be carefully assessed in patients with a history of peptic ulcer disease. NSAIDs, including aspirin, increase the risk of bleeding in patients with prior peptic ulcer disease. In patients treated for H. pylori, eradication of infection should be confirmed four or more weeks after the completion of therapy. •Maintenance […]
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