. What organism is most likely to be seen from the gastric biopsy? Identify the specific type of ulcer to complete the diagnosis. 2. Provide other clinical test to facilitate rapid detection of this organism. Describe briefly the procedure. 3. Enumerate factors which contribute to the organism’s ability to colonize the stomach. 4. If left untreated, what other long term complications could this organism cause?
Case 2
A 45-year-old male patient visits the hospital with a 3-month history of upper abdominal pain associated with nausea. Pain is worsened whenever he drinks alcohol, soda or even coffee. He is a smoker and a moderate alcohol drinker. He denies use of NSAIDs. Physical assessment and vital signs are normal. However, there is notable epigastric tenderness from the abdominal examination. His stool is also heme positive. CBC shows a mild hypochromic, microcytic anemia. Endoscopic examination reveals diffuse gastritis and ulcer. A gastric biopsy is then ordered by the physician.
1. What organism is most likely to be seen from the gastric biopsy? Identify the specific type of ulcer to complete the diagnosis.
2. Provide other clinical test to facilitate rapid detection of this organism. Describe briefly the procedure.
3. Enumerate factors which contribute to the organism’s ability to colonize the stomach.
4. If left untreated, what other long term complications could this organism cause?
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