robin082006
Forum Hero
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Antibiotics are only prescribed If we have clue of H.Pylori infection,
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| study_ing
Forum Fanatic
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agree with robin..now for revision sake..lets discuss the tests for H pylori
1. noninvasive
2. invasive
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| nadiabarati
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thanks. But I mean if we need to look for H. pylori? We diagnose someone as a peptic ulcer case CLINICALLY. Now what is the next step? Go for antisecretory drugs as trial OR do urea breath test and ..to find H.pylori and include antibiotics as a part of theray.
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| MDcooper
Forum Guru
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In my opinion,we should first look for H.pylori as the possible etiology as it is largely the main etiology.After ruling out Hpylori,we can go ahead with PPI.As if there is no H pylori,there is no need for antibiotics.
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| yasmeen
Forum Guru
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WE SHOULD TRY TO FIND OUT PRESENCE OF H PYLORI FIRST BY BREATH TST , UREASE TEST ,SEROLOGY ETC IDEALLY BEFORE PUTTING PT ON PEPTIC ULCER MEDICATION.
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| study_ing
Forum Fanatic
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agreed..choose a nonivasive test initially..the breath test sounds good. and treat with triple regimen therapy.
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If you yourself are at peace, then there is at least some peace in the world.
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| nadiabarati
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But kaplan says: after diagnosing peptic ulcer clinically in someone less than 45 years old, so go for PPIs as a trial!!! I don't know wether you use other sources also? Because somethings that you sar are not mentioned in kaplan.
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| cbenitesch
Forum Senior
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I´m agree with nadiabarati!!!... When you diagnose clinically PUD in a young person without prior history of taking NSAIDs and other risk factors... we suppose the patient has a H. pylori infection in a 90% BUT I think to avoid resistant to atbs we need to have the clue of infection!...ie NMS USMLE step 2 Q-book they have a question very similar but they ask you what´s the change of the patient to have H pylori infection... I think we need to use antibiotics rationaly!!!...
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