Peptic Ulcer Disease Mechanisms

Peptic Ulcer Disease Mechanisms

My assigned disease process is   Condition:  Peptic Ulcer Disease (PUD)

Follow these guidelines when completing each component of the discussion.

General Instructions 

The purpose of this discussion is to examine an assigned disease process and determine which disease process explored in the discussion Bayani, the client, is experiencing. Follow the instructions below and your faculty member will reveal which disease process Bayani is experiencing at the end of the discussion week.

Step 1: Review the following client scenario:

Bayani, a 62-year-old male client, presents to the NP with abdominal pain with his wife. Bayani is mildly confused, and according to his wife, he is normally fully oriented. His abdomen is soft and non-distended, and his wife states he has been urinating and drinking more water than usual. She also states he has had foul-smelling urine and is concerned he also has a urinary tract infection.

Answer all questions/criteria with explanations and detail.

1. Discuss the underlying pathophysiological mechanisms of your assigned disease process. Which clinical manifestations observed in Bayani’s case could be explained by the pathophysiological mechanisms?
2. Analyze Bayani’s clinical manifestations in the context of your assigned disease process. Do these findings support a diagnosis of your assigned disease process? Why or why not?
3. Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that would be most appropriate for investigating a diagnosis of your assigned disease process in Bayani. What could the results of these tests look like in your assigned disease process?
4. Compare and contrast your response with a peer assigned a different condition. Does their condition fit Bayani’s case? Why or why not?

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APA

Peptic Ulcer Disease Mechanisms

1. Pathophysiological Mechanisms of PUD:

Peptic Ulcer Disease involves the formation of open sores in the stomach lining or the upper part of the small intestine due to an imbalance between gastric acid secretion and mucosal defense mechanisms. Key factors include Helicobacter pylori infection, prolonged NSAID use, stress, smoking, or excessive alcohol consumption. The damage from acid and pepsin leads to mucosal erosion and, if untreated, deeper ulcers that may cause bleeding or perforation.

• Bayani’s Symptoms Explained by PUD Mechanisms:
  While PUD can cause abdominal pain, his soft, non-distended abdomen and confusion aren’t typical PUD presentations. PUD-related pain is usually a burning sensation in the epigastric area, worsening with an empty stomach. However, confusion could suggest a complication like gastrointestinal bleeding leading to hypovolemia and hypotension, though this isn’t directly indicated here.

2. Analyzing Bayani’s Clinical Manifestations:

• Symptoms Supporting PUD:
  Bayani’s abdominal pain could be consistent with PUD, but other hallmark signs like melena (black tarry stools), hematemesis (vomiting blood), or weight loss are missing. His urination issues and