H. Pylori Infection
Age: years old
Gender:
HISTORY:
Presents for a positive H. Pylori on
Symptoms include:
, episodes , ,
, over
Alleviating factors: ,
Contributing factors:
no history of: , , , , ,
no use of:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , ,
Anorectal: DRE , prostate , , , anus
ASSESSMENT:
DDx: peptic ulcer disease, gastritis, NSAIDs gastritis, alcohol-related gastritis, gastric MALT lymphoma, iron deficiency anemia, idiopathic thrombocytopenic purpura, gastric cancer, Zollinger-Ellison syndrome, GERD, celiac disease, inflammatory bowel disease, lymphocytic gastritis, eosinophilic gastroenteritis, gastrointestinal bleeding, gallstones, pancreatitis
PLAN:
Investigations:
- Blood work: , , , , ,
- Stool test for H. pylori
- Breath test for H. pylori
- Upper GI endoscopy
Treatments:
-
-
-
-
- Avoid NSAIDs
- Dietary modifications: , , , , , ,
- Smoking cessation counseling
Further care:
- Referral to gastroenterologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as vomiting, weight loss, or black stools
HISTORY: EXAM: ASSESSMENT: PLAN: