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Never forget PPU
2010/01/26 14:32
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Since drug for peptioc ulcer treatment including tagament and losec, takepro
the case number of PPU decaresed steeply
however, never forget PPU
- routine CXR is indicated for patient admit and kept at ER
- close monitior the symtom change of gastritis, if the epigstralgia became more severe and abdominal guarding comes out, the possibility of PPU should be considered
case report
, male 60y/o
epigastric pain and vomiting
treated as gastritis
PES was arranged
CXR revealed intraabdoominal free air, but delayed about 10 hours
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