Peptic ulcer

peptic ulcer

3. INTRODUCTIONINTRODUCTION
Peptic ulcer is an erosion of gastro Peptic ulcer is an erosion of gastro
intestinal (GI) mucosa resulting from the intestinal (GI) mucosa resulting from the
digestive action of hydrochloric acid (HCL)& digestive action of hydrochloric acid (HCL)&
pepsin .portion like lower esophagus, pepsin .portion like lower esophagus,
stomach, duodenum, & margine of stomach, duodenum, & margine of
gastrojejunal region. gastrojejunal region.

4. DEFINITIONDEFINITION
•Peptic ulcer is mucosal ulcerative near the
acid bearing region of the gastro-intestinal
tract.

5. COMMON SITESCOMMON SITES
A.Gastric & proximal
duodenal mucosa.
B.Lower end of the
esophagus.

6. CLASSIFICATIONCLASSIFICATION
A.Acute peptic ulcer.
B.Chronic peptic ulcer.

7. CAUSES OF PEPTIC ULCER.CAUSES OF PEPTIC ULCER.
-Hereditary.
-Eating habits.
-Smoking.
-Drugs.
-Stress.

8. •SMOKING •DRUGS

9. •EATING HABIT •STRESS

10. CLINICAL MANIFESTATIONCLINICAL MANIFESTATION
1.Pain
2.Vomiting
3.Haemetemesis & malaena
4.Loss of Appetite & weight reduce
5.Epigastric tenderness
6.Miscellaneous

11. •Abdominal pain •vomiting

12. •Weight loss •Abdominal
tenderness

13. DIAGNOSTIC TESTSDIAGNOSTIC TESTS
•BARIUM STUDIES.
•ENDOSCOPY.
•GASTRIC ANALYSIS.

14. TREATMENT.TREATMENT.
•REST.
•DIET.
•ANTACIDES DRUGS.
•ANTICHOLINERGIC DRUGS.
•H2-RECEPTORS ANTAGONIST.
•ENHANCEMENT OF MUCOSAL RESISTANCE.
•TRANQUILIZERS.
•AVOIDING GASTRIC IRRITATIONS.
•ss

15. SURGICAL MANAGEMENT.SURGICAL MANAGEMENT.
•Partial gastrectomy.
•Vagotomy & gastrjejunostomy.
•Vagotomy & antrectomy.

16. COMPLICATIONCOMPLICATION
ACUTE.
•Hemorrhage.
• Perforation.
CHRONIC.
•Pyloric stenosis.
•Penetration into
neighboring viscera.
•malignancy

17. NURSING MANAGEMENTNURSING MANAGEMENT

18. BIBLIOGRAPYBIBLIOGRAPY
•Medical surgical nursing by Lewic
published by Mosby.pp 1012-1018.
•Net references .