Online Practice # 2

Nothing correlates better sygns, symptoms and pathology, so in this video you can see the pathology and then you'll be able to think about sygns and symptoms, writte them down and remember: "whose strikes first strikes twice"

Category:

Science & Technology

Tags:

• UAEH
• medicine
• gastroenterology
• endoscopy
• online
• practice

[IARH1988]

In my personal opinion refer to this clinic case this patient could be present the next sintoms: regurgitation, heartburn, gatrointestinal bleeding, meleena, reflux, vimit, dysphagia, abdominal distension. All this symptoms was caused by this syndroms: Acid peptic syndrom, hemorragic digestive syndrom.

Finally oru patient present a peptic ulcer on pilurus, type: H1 as Sakita and 1b by Forrester classification.

Irving Asael Rangel H.

[mizzaretto]

I think this patient presents: reflux, meleena, hematemesis, epigastric pain,nausea, vomit, Acid peptic syndrom, hemorragic digestive syndrome, ferropenic microcytic anemia, Lost of weight and avoids some kind of food (irritant food)

Luna Diego Romeo

[megamahoo]

I think, this patient would have 3 main pathologies, and according what I watched, we have:

-Gastroesophageal reflux disease (GERD), caused by a weakness or by a lower esophageal sphincter malfunction, the which results in the returning of the stomach contents (acid mainly) to the esophagus, causing the esophagus membrane irritation (esophagitis), and all the other symptoms mentioned before.

-Diaz Espindola

[zarh100]

The physiopathology is a peptic ulcer on the pyloro H1and Ib according to Sakitas and Forrests classification which caused inflammation and obstruction. The obstruction causes a retard in the gastric evacuating,GERD, simil ulcer dyspeptic syndrome, acid peptic disease and Barretts esophagus. Signs and symptoms are epigastric pain nausea hematemesis dysphagia regurgitation heartburn stinky breath melena abdominal distension Martinez Hernandez Edgar

[zarh100]

the pylorus with inflammation produce a discrease tone. this pathology can explain the next sympthoms: heartburn, regurgitation, burps, epigastric pain, stinky breath, nausea, vomit. Associated syndromes: Acid peptyc Sx, Dyspeptic like ulcer Sx, High Intestinal Hemorrhage Sx.

Zacatenco ramirez alfonso

[zarh100]

Patient with peptic ulcer secondary to cronic acid hipersecretion. Fibrins cumulus in the third portion of esophagus (Camerons ulcers). The distance between escamocolumnar junction and esophagogastric junction is bigger than 3 cm.(Barrets esophagus). Gastroesophageal reflux (probably bile origin).gastric folds increased in thickness. Ulcers in differents stages: a) pyloric ulcer (Sakita Miwa H1, Forrest III), b) pyloric ulcer (Sakita A2, Forrest 1B).

Zacatenco ramirez alfonso

[shokirihua]

there looks like a longer distance than normal at the gastric esophagus junction, wich would be explaned by barret¨s esophagus, and the symptoms for that patology can be related to regurgitation, reflux, disphagea, pyrosis and hartburn. Hugo Lopez Alfaro

[shokirihua]

The way i see; this patient may be suffering from acid peptic sindrome wich leaded to the ulcer that we can see located at the pylorus,this ulcer may be taking to the patient to symptoms like abdominal pain, hematemesis, melena and pyrosis, these ulcer is classified as H1 by Sakita, or 1b in forrester¨s.

Also there would be hidden blood, and those things are mostly related to helicobacter pilory infection, that colonizes the mucosa.

[glouhpotter]

This video endoscopy shows a PepticUlcer at the pylorus,it looks to me like a

H1 ulcer in Sakita's classification an 1b in the Forrest group.And the symptons are: Abdominal Pain,Hematemesis, pyrosis, melena and maybe weigth loss.

this ulcer would be caused by the patient life style such as smoking,but most patients who are diagnosted with a peptic ulcer is likely due to a Bacterium called Helicobacter Pylori,also some drugs such NSAID, can suprres the mucus production wich can lead to ulcer.

[santollan]

this patien presented the next signs and symptoms: distention, hertburn, epigastric pain radiates to the back, dysphagia, regurgitation, vomit hematemesis, plenty feeling, melaene, reflux, anorexia.

Physiopatology: it´s an inyury of the duodenal mucous produced for chronic exposed to the gastric contains.

Diagnose: penetrated duodenal ulcer