18th July 2023

A 57-year-old woman presents to hospital with abdominal pain on the background of a 2-month history of dyspepsia

A 57-year-old woman presents to hospital with abdominal pain on the background of a 2-month history of dyspepsia and intermittent dark stools. She has a past medical history of NYHA II heart failure and a mechanical aortic valve replacement. She also takes losartan, bisoprolol, spironolactone and warfarin. She has no drug allergies. Upper GI endoscopy reveals a duodenal ulcer. The endoscopist performs a rapid urease (CLO) test, which is positive. She is treated with endoscopic clips and adrenaline injection. On the gastroenterology ward, she received a 72h omeprazole infusion following endoscopy.

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