H. pylori infection after first-line triple and quadruple therapies, resistant to metronidazole and clarithromycin are common. Levofloxacin is a third line therapy.
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H. pylori infection after first-line triple and quadruple therapies, resistant to metronidazole and clarithromycin are common. Levofloxacin is a third line therapy.
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Await pathology results. The patient should be on Pantoprazole 40 mg p.o. BID for six weeks on discharge. The patient needs to follow up with me [] to discuss a repeat EGD in 6 weeks. Message was sent to clinic for follow up. Most likely source of bleeding was the gastric and duodenal ulcers. Avoid alcohol and NSAIDs. Differential diagnosis for gastric ulcer includes gastric cancer although less likely. Differential for gastritis includes H. Pylori infection
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Discussed endoscopy and H. pylori negative pathology results.
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Discussed EGD and H pylori positive pathology results. Triple therapy and H. pylori breath test in 6 weeks.
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Discussed EGD and H pylori positive pathology results. Triple therapy and H. pylori breath test in 8 weeks.
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Discussed EGD and H pylori positive pathology results. Triple therapy and H. pylori breath test in 6 weeks. Eradication - a urea breath test, fecal antigen test, or upper endoscopy performed four weeks or more after completion of antibiotic therapy. No PPI therapy for one to two weeks prior to testing.
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