The patient appears to have peptic ulcer disease, which is most commonly caused by Helicobacter pylori. Histology is the gold standard for diagnosis. In addition, H. pylori grows at 37° C. PPIs and antibiotics can lower the bacterial load and yield a false-negative hydrogen breath test result. However, the patient did not complete the full course of antibiotics, and therefore, she is not completely treated. Histology and serologic testing would be better approaches because this patient has already started therapy for H. pylori before confirmatory diagnosis. Accurate diagnosis is necessary for proper treatment. Persistent epigastric pain, even with therapy, could indicate a neoplasm, which requires biopsy.
The patient appears to have peptic ulcer disease, which is most commonly caused by H. pylori. Histology is the gold standard for diagnosis. In addition, H. pylori grows at 37° C. PPIs and antibiotics can lower the bacterial load and yield a false-negative hydrogen breath test result. However, the patient did not complete the full course of antibiotics, and therefore, she is not completely treated. Histology and serologic testing would be better approaches because this patient has already started therapy for H. pylori before confirmatory diagnosis. Accurate diagnosis is necessary for proper treatment. Persistent epigastric pain, even with therapy, could indicate a neoplasm, which requires biopsy.
The patient appears to have peptic ulcer disease, which is most commonly caused by H. pylori. Histology is the gold standard for diagnosis. In addition, H. pylori grows at 37° C. PPIs and antibiotics can lower the bacterial load and yield a false-negative hydrogen breath test result. However, the patient did not complete the full course of antibiotics, and therefore, she is not completely treated. Histology and serologic testing would be better approaches because this patient has already started therapy for H. pylori before confirmatory diagnosis. Accurate diagnosis is necessary for proper treatment. Persistent epigastric pain, even with therapy, could indicate a neoplasm, which requires biopsy.
The patient appears to have peptic ulcer disease, which is most commonly caused by H. pylori. Histology is the gold standard for diagnosis. In addition, H. pylori grows at 37° C. PPIs and antibiotics can lower the bacterial load and yield a false-negative hydrogen breath test result. However, the patient did not complete the full course of antibiotics, and therefore, she is not completely treated. Histology and serologic testing would be better approaches because this patient has already started therapy for H. pylori before confirmatory diagnosis. Accurate diagnosis is necessary for proper treatment. Persistent epigastric pain, even with therapy, could indicate a neoplasm, which requires biopsy.
The patient appears to have peptic ulcer disease, which is most commonly caused by H. pylori. Histology is the gold standard for diagnosis. In addition, H. pylori grows at 37° C. PPIs and antibiotics can lower the bacterial load and yield a false-negative hydrogen breath test result. However, the patient did not complete the full course of antibiotics, and therefore, she is not completely treated. Histology and serologic testing would be better approaches because this patient has already started therapy for H. pylori before confirmatory diagnosis. Accurate diagnosis is necessary for proper treatment. Persistent epigastric pain, even with therapy, could indicate a neoplasm, which requires biopsy.
