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Clinical CPD topic

Peptic ulcer disease: practise, reflect and record

Practise peptic ulcer disease through five clinical cases, review the explanations and build a professional learning record. Select initial H. pylori investigation and cause-directed treatment for uncomplicated ulcer presentations.

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What you’ll work on

  • Select initial H. pylori investigation and cause-directed treatment for uncomplicated ulcer presentations.
  • Choose urgent operative source control alongside resuscitation and antibiotics for freely leaking ulcer perforation.
  • Select PPI gastroprotection that minimises interaction with clopidogrel.

Think through a clinical case

Decide how you would approach this case before opening the question session.

A 45-year-old man presents in primary care with a 2-week history of recurrent epigastric pain that improves after eating. He smokes 20 cigarettes daily and regularly takes ibuprofen for mechanical back pain. He has no dysphagia, gastrointestinal bleeding, persistent vomiting, weight loss or abdominal mass. He has not taken a proton pump inhibitor during the preceding 2 weeks. What is the most appropriate initial investigation?

A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.

From a decision to a learning record

  1. Test your reasoning. Answer five questions from this topic’s clinical-content library.
  2. Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
  3. Reflect on application. Describe what you learned and what you would change or investigate.
  4. Review your evidence. Confirm the activity and time spent, then retain or export your professional record.

Primary sources and further reading

Read the source in the same jurisdiction as your question session.

Continue your reading

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