PEPTIC ULCER DISEASE
KNOWLEDGE – Students should know and appreciate the following:
- Peptic ulcer disease is a common condition affecting 4-5 million Americans at any given time.
- Peptic ulcer disease tends to run a chronic course with remissions and exacerbations over many years unless H. pylori is eradicated.
- H. pylori is the causative agents in most cases of peptic ulcer disease, NSAID are an important factor, particularly in the elderly.
- Differences between duodenal ulcer and gastric ulcer presentation.
- Diagnostic approach to patients with suspected peptic ulcer disease.
- Treatment of peptic ulcer disease, including therapy for the eradication of Helicobacter pylori.
- Complications (GI bleeding, perforation, obstruction) of peptic ulcer disease and indications for surgical intervention.
SKILLS – Students should be able to:
- Obtain, document and present an appropriate and accurate medical history in patients with suspected peptic ulcer disease.
- Perform an accurate physical exam, including rectal exam to check for occult GI bleeding.
- Order appropriate laboratory and diagnostic studies in patients with suspected peptic ulcer disease.
- Plan appropriate treatment program, including the treatment of Helicobacter pylori.
ATTITUDES AND PROFESSIONAL BEHAVIORS:
- Students should recognize the impact of peptic ulcer disease on patients, and the need for aggressive management in all patients, primarily the eradication of H. pylori if present.
- Yamada, Tadataka. Handbook of Gastroenterology . 2000, Chap 31 (The Medicine Education Office, 7604, has a copy of this reference.)