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Condition Info
ConditionName
Peptic ulcer perforation
ConditionDescription
Symptoms
LUQ pain; severe pain in the belly; Sudden onset; severe intense; steady epigastric pain that radiates to sides; back; or right shoulder; pain worse with empty stomach;
PhysicalFindings
Epigastric tenderness; rebound tenderness; bowel sound can be absent;
ClinicalTests
An abdominal series (supine and upright abdominal x-rays and chest x-rays) may be diagnostic; showing free air under the diaphragm in 50 to 75% of cases; If nondiagnostic; abdominal CT;
RiskFactors
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
TreatmentOptions
PharmOptions
WebLink
https://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/acute-perforation-of-the-gastrointestinal-tract?query=Peptic ulcer perforation
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