Beruflich Dokumente
Kultur Dokumente
Presented By : Manisha
Ulcer Perforation.
• A perforated ulcer, is a condition in which
untreated ulcer can burn through the wall of
the stomach (or other areas of
the gastrointestinal tract), allowing digestive
juices and food to leak into the abdominal cavity.
Etiology of Ulcer Perforation.
• Infection of the stomach by bacteria called
Helicobacter pylori (H pylori).
• Chronic history of peptic and duodenal ulcer.
Sign and Symptoms of Ulcer
Perforation.
(1) Sudden, Severe abdominal Pain :
The first symptom of a perforated peptic ulcer is usually
sudden, severe, sharp pain in the abdomen.
• The experience is typically so intense
• The pain is typically at its maximum immediately and
persists.
• It is characteristically made worse by any movement, and
greatly intensifies with coughing or sneezing.
• The pain is often generalized throughout the abdomen, but
is sometimes focused in the upper abdomen.
• It may radiate to the shoulders or, less commonly, the hips.
continuee…….
(2) Abdominal tenderness, distention and rigidity .
• Spillage of digestive contents into the abdominal
cavity due to a perforated ulcer provokes intense
inflammation of the area.
• This leads to not only pain but abdominal
tenderness.
Continue…….
• This is evident on physical examination, as people
with abdominal cavity as inflammation reflexively
stiffen the abdominal muscles. This reflex is
known as abdominal guarding.
• Fluid accumulation in the abdominal cavity due
to inflammation of the area is another
contributor to abdominal distention.
Others sign and symptom
• Hypotension
• Decreased urine output.
• Tachycardia
• Skin may be pale and clammy
Early Warning Signs and Symptoms