Question

head to toe assessment for Pepcid ulcer

Answer 1

Ans) Peptic ulcer:

- A lesion in the lining (mucosa) of the digestive tract, typically in the stomach or duodenum, caused by the digestive action of pepsin and stomach acid.

Appearance of the Patient:
Patients usually appear in severe distress due to severe abdominal pain.
Vital Signs:
Patient has normal vital signs in initial stages of peptic ulcer
In peptic ulcer perforations vital signs may include :
Tachycardia with regular pulse
Weak pulse
Low blood pressure with normal pulse pressure
High-grade fever is present at later stage of peptic ulcer perforation

Skin:
Pallor is present in patients presenting with hematemesis and melena
The hand of a person with severe anemia compared to one without (on the right)

HEENT:

Pallor on the lower conjunctiva can be seen

Lungs:

Normal bilateral vesicular breath sounds

Heart:
S1 and S2 normal, no murmur/rubs/gallops

Abdomen:

Abdominal tenderness at the epigastrium
Perforated peptic ulcer presents with:[3][4][5]
Rebound tenderness
Decreased bowel sounds
Lower right quadrant tenderness
Abdominal rigdity
Abdominal distension