A 43-year-old woman presents to the Emergency Department for evaluation of right upper quadrant abdominal pain that started approximately 2 hours ago, after Thanksgiving dinner. She reports the pain started suddenly and she describes it as a steady, deep aching sensation. She denies fever, chills, nausea, vomiting, unexpected weight changes, or changes in bowel or bladder habits. She reports a similar episode approximately 2 months ago; it was self-limiting, occurring after eating fast food and lasting only about one hour. Vital signs are unremarkable. Physical exam reveals moderate tenderness upon palpation of the right upper quadrant with radiation of the pain to the right shoulder. No rebound or guarding are present and bowel sounds are normoactive. Urinalysis is negative for evidence of infection or hematuria. While waiting for abdominal imaging, the patient reports complete resolution of her symptoms. What is the most likely diagnosis

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27-06-2022
Medicine

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A 43-year-old woman presents to the Emergency Department for evaluation of right upper quadrant abdominal pain that started approximately 2 hours ago, after Thanksgiving dinner. She reports the pain started suddenly and she describes it as a steady, deep aching sensation. She denies fever, chills, nausea, vomiting, unexpected weight changes, or changes in bowel or bladder habits. She reports a similar episode approximately 2 months ago; it was self-limiting, occurring after eating fast food and lasting only about one hour. Vital signs are unremarkable. Physical exam reveals moderate tenderness upon palpation of the right upper quadrant with radiation of the pain to the right shoulder. No rebound or guarding are present and bowel sounds are normoactive. Urinalysis is negative for evidence of infection or hematuria. While waiting for abdominal imaging, the patient reports complete resolution of her symptoms. What is the most likely diagnosis

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keshavgandhi04 keshavgandhi04 · Answer 1 · 2022-06-29T16:21:38+02:00

She might have bacterial infection in stomach so the Clarithromycin 500 mg bid, amoxicillin 1 g bid, lansoprazole 30 mg bid for 10-14 days.

What is the use of Clarithromycin?

In many different areas of the body, bacterial infections are treated with clarithromycin. Additionally, it is used in combination with other medications to treat H. pylori-induced duodenal ulcers. The Mycobacterium avium complex (MAC) infection can also be prevented and treated with this medication.

A penicillin antibiotic is amoxicillin. It is used to treat bacterial infections such tooth abscesses and chest infections (including pneumonia). To treat stomach ulcers, it can also be used in conjunction with other antibiotics and medications.

The amount of acid produced by your stomach is decreased by lansoprazole. It is used to treat gastroesophageal reflux disease, heartburn, acid reflux, and indigestion (GORD). Additionally, stomach ulcers are treated and prevented using lansoprazole.

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