TY - CHAP M1 - Book, Section TI - Peptic Ulcer Disease A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 41-year-old man presents with a 4-month history of epigastric pain. The pain is dull, achy, and intermittent; there is no radiation of the pain and it has not changed in character since it began. Coffee intake seems to exacerbate the symptoms, whereas eating or drinking milk helps. Infrequently, he is awakened at night by the pain. He reports no weight loss, vomiting, melena, or hematochezia. On examination, there is mild epigastric tenderness with no rebound or guarding. The remainder of the examination is unremarkable. A stool antigen test is positive for Helicobacter pylori, and the patient is treated for peptic ulcer disease with eradication therapy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164347620 ER -