Clinical Case Correlation

Question 1

What is the most likely organism that could found on biopsy of the stomach or duodenum?

Answer 1

H. pylori. Gram + microaerophilic spiral bacili with flagella, oxidase positive, urease positive

Question 2

WHat test can be performed to test for H. pylori?

Answer 2

Urea breath test

Question 3

What are some histological test that can be done to test for H. pylori?

Answer 3

1. EGD with biopsy (hematoxylin and eosin stain or warthin-stary stain
2. Rapid Clo (clofazimine test)

Question 4

What blood test can be done to test for H. pylori

Answer 4

H. pylori antibodies, IgA

Question 5

H. pylori causes peptic ulcer usualy on which location of the stomach?

Answer 5

lesser curvature of the antrum of stomach

Question 6

Gnawing pain after 1-3 hours after eating, relieved by food/eating is associated with which type of ulcer

Answer 6

duodenal ulver

Question 7

What is a treatment regimen for duodenal ulcer?

Answer 7

Conconction of Omeprazole, calrithromysin, and amoxicilin.

Question 8

What disease is assoicated with elevated calcium and galactorrhea?

Answer 8

Multiple neodcrine neoplasia

Question 9

Arcus senilis is associated with what?

Answer 9

Lipid deposits in the cornea commonly seen with choledocholethiasis