Pathology of Peptic Ulcer

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"Beauty is only skin deep, but it's a valuable
asset if you're poor or haven't any sense!" --
Kin Hubbard
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Pathology of Peptic Ulcer
Dr. Venkatesh M. Shashidhar Associate Professor
of Pathology School of Health Sciences Fiji
School of Medicine
A Commitment to Excellence
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Normal Stomach
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Esophagus Stomach Normal
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Acute Esophagitis Gastritis
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Gastric Hernia
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Esophageal Diverticulum
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Esophageal Carcinoma
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Acute Gastritis
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Gastric Ulcer
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Peptic ulcer - Endoscopy
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Duodenal Peptic Ulcer
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Gastric Ulcer
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Gastric Ulcer
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Gastric Ulcer
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Perforation
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Morphologic types of Carcinoma Stomach
Fungating Ulcerating Diffuse
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Fungating Carconoma Stomach
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Gastric Adenocarcinoma
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Linitis Plastica Schirrhous Carcinoma diffuse.
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Spread of Gastric Ca
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You get ulcer, not from what you eat, but from
whats eating you..!
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Helecobacter pylori

• Gram negative, Spiral bacilli
• Spirochetes
• Do not invade cells mucous
• Breakdown urea - ammonia
• Breaksdown mucosal defence
• Chronic Superficial inflammation
• Biopsy - Toludine blue stain, silver stain
• Urease test, Breath test.

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Helecobacter pylori
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Toludine Blue stain H pylori
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Urease production test
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Hmmmm H.pylori