Diagnostic Theory of H.pylori (possible scenarios discussion) - USMLE Forums
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Old 05-26-2012
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GIT Diagnostic Theory of H.pylori (possible scenarios discussion)

we know that we must test for H.pylori in every PUD pt, we also know different test with pros and cons, but which to pick is sometime difficult

i think that if :
-a pt present with hx consisting with PUD and the hx point to the relation of food with pain (get worse --> GU, get better --> DU) i will go with non-invasive test (namely H2Breath Test) if GU and with Endo if GU

-a pt present with pain & hx didn't mention relation with food nor weight changes, i will go with serology, if negative, pud ruled out, if positive i'll proceed with endo & bx, though this is age dependent (<45 vs. >55)

cuz in mtb2: <45 with NUD (vague/atypical pain) --> PPI trial >> endo if no response. and if >55 --> endo

So when should we use hpylori serology as an answer in the exam?

:sorry::sorry: discussion plz :sorry::sorry:
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