A 50-year-old college professor consulted his primary health-care provider because of tiredness, lethargy

A 50-year-old college professor consulted his primary health-care provider because of tiredness, lethargy, and an abdominal pain centered around the lower end of his sternum, which woke him in the early hours of the morning.  The pain was relieved by food and antacids.  His uncle had died of stomach cancer and he was worried that he had the same illness.

Abdominal pain has an extremely broad differential diagnosis list.  Certain features often help in determining which is the most likely etiology.  Lower-right quadrant pain suggests appendicitis, whereas upper-right quadrant pain is suggestive of cholecystitis or cholelithiasis.  The absence of diarrhea or emesis makes gastroenteritis and Crohn disease unlikely.  Esophagitis or reflux disease would likely have chest pain as a prominent symptom.  Pain associated with signs of acid hypersecretion suggests peptic ulcer disease.  However, these are generalizations. and other factors, such as lab results and endoscopy should be considered.

On examination his doctor noted that he seemed a bit pale and that he had a tachycardia.  His blood pressure was low.  He was slightly tender in his upper abdomen but there was no guarding or rebound tenderness.  The doctor took blood and fecal samples.  The complete blood count (CBC) showed a hypochromic normocytic anemia with a hematocrit of 38% and a hemoglobin of 8.9 gram/100 mL consistent with iron deficiency anemia.  The fecal antigen test for the suspected microorganism was positive as was the 13C urea-breath test.

An upper gastrointestinal endoscopy was conducted and the gastroscopic exam showed a 3cm ulcer in the prepyloric region of the stomach. PCR (polymerase chain reaction) analysis of the gastric biopsy confirmed the identity of the microorganism. The patient was started on routine treatment for a duodenal ulcer.

Describe the likely causative microbial agent and how it causes the disease presentation.

What is the route of infection? Is it contagious? If so, how can it be spread?

What is the treatment regimen for this disease?

A 50-year-old college professor consulted his primary health-care provider because of tiredness, lethargy

We offer the best custom writing paper services. We have answered this question before and we can also do it for you.


We offer the bestcustom writing paper services. We have done this question before, we can also do it for you.

Why Choose Us

  • 100% non-plagiarized Papers
  • 24/7 /365 Service Available
  • Affordable Prices
  • Any Paper, Urgency, and Subject
  • Will complete your papers in 6 hours
  • On-time Delivery
  • Money-back and Privacy guarantees
  • Unlimited Amendments upon request
  • Satisfaction guarantee

How it Works

  • Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
  • Fill in your paper’s requirements in the "PAPER DETAILS" section.
  • Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.