Site MapHelpFeedbackClinical Case 9
Clinical Case 9
(See related pages)



1

TH is a 44 year-old smoker who presented to the ER for the evaluation of gnawing epigastric pain which is minimally improved after eating. He was hospitalized 2 months ago after presenting with similar symptoms and was found to have H. pylori and a duodenal ulcer. He was treated with combination treatment (Amoxicillin + Clarithromycin + Omeprazole) for 2 weeks followed by 2 weeks of Omeprazole alone. He felt well after treatment until 1 week ago.

Which of the following statements is most correct?
A)H. pylori persistence is an unlikely cause of recurrent PUD unless there is poor compliance with the prescribed treatment.
B)Continuing use of NSAID’s or aspirin is a common cause of recurrent or refractory PUD.
C)Endoscopy is the only acceptable strategy for evaluation of H. pylori eradication.
D)Smoking is unlikely to be a causative factor in recurrent peptic ulcer.
E)Nearly all refractory or recurrent peptic ulcers are symptomatic.





We welcome your feedback. Please send comments and questions to: medical_education@mcgraw-hill.com.
To learn more about the book this website supports, please visit its Information Center.
(c)2005 McGraw-Hill Professional
Any use is subject to the Terms of Use and Privacy Policy.
McGraw-Hill Professional is one of the many fine businesses of The McGraw-Hill Companies.


Harrisons Internal MedicineOnline Learning Center

Home > 12. Gastrointestinal > Clinical Case 9