Peptic ulcer in the geriatric population: How typical is the presentation? A case report of peptic ulcer disease in an older adult emphasizing difficulties in diagnosis and management

Thiruvinvamalai S. Dharmarajan, R. K. Kathpalia, H. Tankala

Research output: Contribution to journalArticle

Abstract

An older resident in the nursing home was evaluated for complaints of not feeling well. The only finding on physical examination was tachycardia without an apparent cause. Laboratory testing revealed a 50% drop in hematocrit prompting hospitalization. Gastric lavage and endoscopy confirmed peptic ulcer with signs of upper GI bleed. The ulcer completely resolved with appropriate management over several weeks. The case illustrates an atypical presentation of peptic ulcer disease and highlights the need for an increased awareness of the absence of usual clinical manifestations in the geriatric age group.

Original languageEnglish (US)
Pages (from-to)98-114
Number of pages17
JournalPractical Gastroenterology
Volume24
Issue number4
StatePublished - 2000
Externally publishedYes

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Peptic Ulcer
Geriatrics
Gastric Lavage
Nursing Homes
Hematocrit
Tachycardia
Population
Endoscopy
Physical Examination
Ulcer
Emotions
Hospitalization
Age Groups

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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