Peptic Ulcer

Question 1

Symptoms of perforated peptic ulcer

Answer 1

Sudden epigastric pain, later becoming more generalised, patients may describe syncope

Question 2

Investigation of perforated peptic ulcer

Answer 2

Upright CXR showing free air under diaphragm

Question 3

Symptoms of bleeding from peptic ulcer

Answer 3

Melaena, haematemesis, hypotension, tachycardia

Question 4

Management of peptic ulcer bleeding

Answer 4

IV PPI, endoscopic intervention, urgent interventional angiography with transarterial embolisation