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Suggest Treatment For Peptic Ulcer And High BP

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Posted on Fri, 20 Feb 2015
Question: I am completing a health and Physical Assessment paper for my APN class. My patient has a peptic ulcer which i know will go under the category of History of present illness, but she also has controlled High blood pressure and cholesterol. Do those 2 go under there or in Past Medical History?
doctor
Answered by Dr. Dr. Rovena (2 hours later)
Brief Answer:
Past medical history.

Detailed Answer:
Hello!

Welcome to Healthcare Magic.

Every significant medical problem in the past including chronic conditions like Hypertension,Heart disease, Diabetes etc that are under control for the moment of examination belong to Past Medical History.
So in your patient's case Hypertension and High Cholesterol level are part of Past Medical History because they are chronic condition that don't cause any complain for the moment of examination.

Hope it helps.
Let me know if you need further help.

Take care,
Dr.Rovena Murati


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rovena (2 hours later)
I thought so, just wanted to double check. Thank you so much!

Could you please tell me the acute and chronic problems with peptic ulcer disease??? I cannot find them in any peer reviewed journal article.
doctor
Answered by Dr. Dr. Rovena (17 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello again.

I apologize for the delay in answering your query.

A peptic ulcer may have some serious acute complication including :
-Bleeding that can be mild to severe depending on the location of the ulcer and the caliber of the affected artery
-Perforation
-Penetration (peptic ulcer penetrate the wall of the stomach and penetrate another abdominal organ like duodenum ,colon etc).
These complications require immediate intervention.

Regarding the chronic complications ,if the ulcer is located near the outlet of stomach can cause obstruction of gastric outlet.This happens due to by scarring, spasm, or inflammation from an ulcer.
-Another chronic complication can be ulcer recurrence.

Hope it helps.
Let me know if you need further help.

Take care.

Dr.Rovena
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Rovena

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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Suggest Treatment For Peptic Ulcer And High BP

Brief Answer: Past medical history. Detailed Answer: Hello! Welcome to Healthcare Magic. Every significant medical problem in the past including chronic conditions like Hypertension,Heart disease, Diabetes etc that are under control for the moment of examination belong to Past Medical History. So in your patient's case Hypertension and High Cholesterol level are part of Past Medical History because they are chronic condition that don't cause any complain for the moment of examination. Hope it helps. Let me know if you need further help. Take care, Dr.Rovena Murati