this is an ulcer found in the stomach or duodenum. Infection of H. pylori is often present. 

epigastric pain may radiate to back

gawing, burning, boring aching, pressing pain. 

FOOD AND ANTACIDS MAY BRING RELIEF

dyspepsia.

this ulcer is more likely to cause pain that wakes the person up at night, occurs intermitently over a few weeks, then disappears for a few months and then reoccurs. 

this occurs in the cardia and GE junction, also in the distal stomach. 

FOOD aggrivates this!

NOT RELEIVED BY FOOD OR ANTACIDS.

Anorexia, nausea, early satiety, weight loss, and sometimes bleeding. Most common in ages 50-70.

Nausea, vomiting, belching, bloating. heartburn is more common with duodenal ulcer. weight loss is more common  in gastric ulcer. 

dyspepsia is more common in the what age group?

duodenal ulcer in what age? 

gastric ulcer in what age?

1. dyspepsia more common in the young 20-29

2. duodenal ulcer more common in over 30-60

3. gastric ulcer in 50-70 years

this has an ACUTE onset, persistent pain. 

Pain is worse LYING SUPINE

BETTER WITH LEANING FORWARD WITH TRUNK FLEXED.

Chronic or recurrent coruse of pain that is WORSE with ALCOHOL, and heavy or fatty meals.

Better with leaning forward with trunk flexed, often intractable. 

Steady, deep quality pain.

symptoms of decreaed pancreatic function may appear; diarrhea with fatty stools and diabetes mellitus. 

fibrosis of the pancreas secondary to recurrent infection.

epigastric and in either upper quadrant, often radiates to the back. 

steady, deep pain. 

peristent pain, relentlessly progressive illness.

BETTER with leaning forward with trunk flexed; often intractable.

predominatley adenocarcinoma 95%

anorexia, nausea, weight loss, jaundice, depression. 

fever, constipation, there may be initial brief diarrhea. 

often a gradual onset. 

maybe cramping at first, then steady. 

Acute inflammation of a colonic diverticulum, a saclike mucosal outpouching through the colonic muscle. 

LLQ

Poorly localized periumbiculal pain followed by 

mild but increasing possibly cramping

lasts roughly 4-6 hours

anorexia, nausea, possibly vomiting, which typically follow the onset of pain, low fever

right lower qudrant pain

steady and more severe

MOVEMENT OR COUGH AGGRIVATES IT

if it subsides temporairly, suspect perforation of the APPENDIX

Vomiting of bile and mucus (high obstruction), or fecal matter (low obstruction), obstipation develops. 

small bowel: periumbilical or upper abdominal

cramping

obstruction of the bowel lumen, most commonly caused by adhesions or hernias (small bowels), or cancer or diverticulitis (colon).

if this is in the colon, it is located in the lower abdomen r is in a generalized location, cramping pain, paroxysmal pain, although typically milder.

obstipation early. vomiting late if atall, prior symptoms of underlying cause. 

location: maybe periumbilical at first, then diffuse, 

cramping at first, then steady, usually abrupt in onset, then persistant. 

blood supply to the bowel and MESENTERY blocked from thrombosis or embolis (acute arterial occulusion). or reduced from hypoperfusion.