Week 4
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Quiz 4 Context:
A
63-year-old woman with a history of osteoarthritis and over-the-counter
NSAID use is found to be anemic without melena, but with guaiac-positive
stool. Upon questioning she does not report significant GI symptoms.
She is uncertain, but thinks she may have experienced some weight
loss. She attributes this to "stress". Vital signs and
physical exam are normal.
As part of this patient's work-up, an esophagogastroduodenoscopy
(EGD) is performed and is shown below.
Sorry, that is not the most likely answer. Try Again.
b. Excellent!
This EGT reveals what appears to be a gastric ulcer in the antrum of this patient. NSAID use is a contributing factor in the development of ulcer disease. Additionally, patients using NSAIDs may remain asymptomatic even when ulcers are present.
You have correctly identified the Image of the Week. Now test your knowledge about other aspects of acid peptic disorders. Do you know .....
...the prevalence of dyspepsia in the adult population? And, of those with dyspepsia, the number ultimately found to have ulcer disease?
....the characteristics of the patient population in which the development of dyspepsia should prompt immediate endoscopic evaluation?
....the role of barium radiography in evaluating patients with dsyspepsia?
The answers to these questions and a concise review of the pathogenesis, diagnosis, and treatment of acid peptic disorders can be found here within the Cleveland Clinic Disease Management Project.
This
picture is most consistent with which of the following?
- Normal tissue
- Gastric ulcer
- Gastric polyps
- Ménétrièr's
disease
- Foreign
body in stomach
