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PATHOPHYSIOLOGY
Contributory factor:
Diet: caffeine intake
Alcohol and smoking
Presence of Helicobacter
pylori infection Precipitating factors:
Emotional stress Age: 40-60 years old
Skipping meal Gender: male
Multiple use of NSAIDS
Irritating foods
Stimulation of S/Sx:
Further mucosal erosion cholinergic intramural Abdomi-
Destruction of blood plexus, causing muscle nal Pain
vessels PEPTIC ULCER spasm
BLEEDING
Mucosal injury DISEASE
&
cOAGULOPATT
UPPER GASTROINTESTINAL
BLEEDING/HEMORRHAGE
S/Sx: Melena &
Hemoglobin level: 89 g/L
Hematemesis
Decreased volume of
Hematocrit level: 26 g/L
circulating blood in the
Red Blood Cell lvl: 2.9
body.
x106/uL
S/Sx:
Decrease Hemoglobin, Pallor
Hematocrit & RBC. Weakness
Restlessness
tachypnea (RR-28)
HYPOVOLEMIA Hypotension (90/60
mmhg)