Lec 2 - Peptic ulcer

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51-year-old man presents with epigastric pain that is increased whenever he eats. A gastroscopy is performed and a solitary gastric ulcer is found. Which one of the below gross findings is suggestive of malignant ulcer?

A 52-year-old woman presents with upper gastrointestinal bleeding and is found to have multiple ulcers in the duodenum. Workup finds her serum gastrin levels to be markedly elevated, and an abdominal CT scan finds a large mass in the tail of the pancreas. A biopsy from this pancreatic mass finds an islet-cell adenoma that secretes gastrin. Which of the following is the best diagnosis?

A 61-year-old lady has persistent nausea for 5 years with occasional vomiting. She is appointed upper GI endoscopy, and a small area of gastric fundal mucosa has loss of rugal folds. Biopsies are taken and microscopically reveal well-differentiated adenocarcinoma confined to the mucosa. An upper GI endoscopy performed 5 years previously showed a pattern of gastritis and microscopically there was chronic inflammation with the presence of. Which of the following is the most likely risk factor for his neoplasm?

Which of the following is NOT a causative agent for a peptic ulcer?

PUD has several complications include bleeding, perforation, and penetration. Bleeding typically manifests as

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