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Peptic Ulcer Disease Assessment

This Picmonic helps you assess peptic ulcer disease, just think about the time this pepper ulcer-volcano was awakened on this assess-man island, much to the dismay of all of the island’s inhabitants. Peptic ulcers are caused by the bacteria Helicobacter pylori, the helicopter bacteria that came to rescue the island’s castaways, and he was carrying this up-arrow stomach with an acidic-lemon, who squirted juice, upsetting the pepper. This is because increased stomach acid secretion can also lead to peptic ulcers. Patients present with abdominal pain, the abdominal pain-bolts on this assess-man that were caused by the mayhem of volcanic eruption. It erupts, leading to this heart-burning, as heartburn, or pyrosis, is a common symptom. Melena, or darkened blood in the stool, may be seen, the black melon, which was charred by the flames of the heart, while being weighed on the delta weight-scale, as weight changes are another manifestation of this disease. GI distress can also occur, the GI shooting a flare-gun, as he was the reason this helicopter showed up, leading to this unfortunate chain of events. Considerations of this disease include the fact that ulcers occur most commonly in the proximal part of the intestines, or duodenum, shown by the #1 foam-finger dodo-denim, who was given as a meal to the pepper. This dodo-denim was eaten, causing these pain-bolts to be relieved, as pain is relieved with eating in duodenal ulcers. With gastric ulcers, however, pain is caused by eating, the stomach being eaten, causing pain bolts to appear in this pepper.So to review the assessment for peptic ulcer disease, it is caused by the bacteria helicobacter pylori. It can also be caused by increased stomach acid secretion. Patients show abdominal pain, heartburn, melena and weight loss. GI distress can also occur. Ulcers most commonly occur in the duodenum, and duodenal ulcers are unique because the pain is relieved by eating. Conversely, in gastric ulcers, the pain is caused by eating.

educational

story

peptic Ulcer assessment.png

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Pepper Ulcer-volcano with Assess-man

Peptic ulcer

Peptic Ulcer Disease

Peptic Ulcer

GI Bleed

Mechanism/Cause

helicopter bacteria.png

Helicopter Bacteria

Helicobacter Pylori

Which of the following is the bacteria most likely associated with peptic ulcer disease?

Increased stomach acid.png

Up-arrow Stomach with Acidic-lemon

Increased Stomach Acid

Which of the following features is most likely associated with peptic ulcer disease?

Assessment

abdominal pain.png

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Abdominal Pain-bolt

Abdominal Pain

Which of the following is a sign or symptom most likely associated with peptic ulcer disease?

heart burming.png

Heart-burning

Heartburn (Pyrosis)

black melon.png

Black Melon

Melena

delta weight scale.png

Delta Weight-scale

Weight Changes

GI shooting flare gun.png

GI with Flare-gun

GI Distress

Considerations

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#1 Foam-finger Dodo-denim

Most Commonly in Duodenum

Which of the following is most likely associated with peptic ulcer disease?

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Dodo-denim Pain-bolt Relieved by Eating

Duodenal: Pain Relieved by Eating

Which of the following is most likely indicative of a duodenal ulcer?

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Stomach Pain-bolt Caused by Eating

Gastric: Pain Caused by Eating

Which of the following is most likely indicative of a gastric ulcer?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

Family Nurse Practitioner Certification Intensive Review 2nd Edition, Leik

First Aid for the USMLE Step 1 2016

First Aid for the USMLE Step 1 2017

First Aid for the USMLE Step 1 2018

First Aid for the USMLE Step 2 CK, 9th Ed

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Master The Boards USMLE Step 2 CK, 3E

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

NP - Certification Examination and Practice Preparation 4th Edition, Fitzgerald

PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

PATHOMA: Fundamentals of Pathology, Medical Course and Step 1 Review

Potter, Perry, Stockert & Hall, 2017, Fundamentals of Nursing, 9th Ed.

STEP-UP to USMLE Step 2 CK, 4th Ed

We updated this Picmonic to include the fact that weight changes can be found on assessment with a patient experiencing peptic ulcer disease. Both audios were remastered in the process.

On a remote assess-man island, a group of castaways struggle to survive. &nbsp;They saw a helicopter on the horizon and fired a flare-gun, hoping they would be saved. &nbsp;But instead of being rescued from the wretched island, they were doomed to it when the helicopter awakened a monstrous pepper in the island's ulcer-volcano. &nbsp;The helicopter, it turned out, was piloted by a no good bacteria. &nbsp;It flew over the volcano and enraged the pepper using a stomach, which squirted acidic-lemon juice in the pepper's eye. &nbsp;The volcano erupted from the assess-man's abdomen, causing pain-bolts. &nbsp;The pepper spit flames and the heart was burned to a crisp. &nbsp;The last melon on the island was burned black as well, and crash landed on a delta weight-scale. &nbsp;All because the GI fired a flare-gun to get the helicopter's attention. &nbsp;The castaways had but one option to save themselves. &nbsp;They sacrificed one of the their own, the dodo-denim, to appease the pepper. &nbsp;The dodo was the only one dumb enough to approach the pepper, as though they could be friends. &nbsp;Honk! &nbsp;And so, after eating the dodo whole, the pepper's pain-bolts were relieved. &nbsp;But then the pepper thought it would get back at the gastric stomach by eating it as well. &nbsp;One bite and his mouth was filled with gastric acid, and the pepper's pain returned, causing it to erupt with flames which consumed everyone on the island.

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