mash
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A 40-year-old cigarette smoker complains of epigastric pain, well localized, nonradiating, and described as burning. The pain is partially relieved by eating. There is no weight loss. He has not used nonsteroidal anti-inflammatory agents. The pain has gradually worsened over several months. The patient is found to have a duodenal ulcer by upper endoscopy. What is the likelihood of this patient having H. pylori in the gastric antrum?
A. 5%
B. 10%
C. 30 to 60%
D. 100%
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| ELM
Forum Guru
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C.
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ELM
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| FH
Forum Senior
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The answer is d. 100percent.
I have read this q somewhere and I too had picked c, but the explaination says that in the absence of GERD, whenever its a deudenal h.pyloric ulcer, the involvement of the antrum with the h.pylori is always present! The test for diagnosis is again EGD with biopsy!
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| mash
Forum Fanatic
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u r right FH that asso of DU with H.pylori is 100% and that with GU is 85%
but the ans given was 30-60%
so, i had put this ques up fr discussion..
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| FH
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Thats O.K Mash and that is the scarey part, they trick us all too often that we start doubting our knowledge.
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| mani
Forum Guru
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i agree with the notion that its 100%. would u please tell where it was said 30-60%?? i really doubt it
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