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8MIOl

2ND INTERNALS

Baked
Saked on he
foiluing above dioancdú, the Conci tien u

Kncuwn
Known to ai Duecdenal ulcet Such a

ME ld / dull pan in the


epigaitc Region
Pueodenal ulcer :
Dn thik Condition, the udcerative tissue pfesent in
The duo denal
Teion
THE itexmed a a chrone wce,
peptc c e

PATHO GENESIS
Due to high amaunt Hc
pep JecYeti ons in the

HypelAeCIetion d Gautie acic (Hc) Entoth osti nor


Rtonach, taikes place undet he tntuene e Voga tmulatio
Thee
thnhaual EMauMal acia out pue
te BAO NAd ae han.
gh.
The ao have Papid em plying aomach, thot
ood which * netralley butfeu nueiait cu tte aod,

Pale down fo Ao! ntettire (duodenum)

Protective Gautic mucota bwuuer ay b dartoged,


thir lead to etpetute s auodeal mucata to aud
thuu lead to ulceY 4 dwedenum (arraulntestine)
Helicobccten gautritt poditced b
pqlori t een in

alrnolt mayoty Couet oluodcnad ulcert thete include

manydfente mechaniem1 uch ae

Gautn'c mcoeal defNAe

Hott faclor
X
Beceioll ado
Merphdoqim feaiute
The
morphdoqiccl fealte d duoclnel ce include
tnude
T Mott
hem ate ind n t pont g duoalenum, uiua
immetiak pott plonc move Cemm any dN the antuey
than the
pettexuo
w wall

Thu e round to alal uth punched eul afpeanance.

th
Thuy may be uper tulas | deep
They have wuoaly layer eCornporenu amel
a Necroti 3ne > n tte too d cer E
Conpetec e
brin Caudall containirg ecrotic debr
necro hC YMe
bSupentual eudottle 36ne ies balsu

The t t ue necrotu ng muda


houd Coaguda
apPeas ance,

Cranudert orn tisSue 3me


t megîrq nto he necrotic zo2
et
Ceropoted o Non Ape ei f l tnttam moutory tntltrak

2ne c cicaSaion

E mqed nto ranulaton tSue, Cen pted

DrOColigenouu tsue, thronmboted Scelostic artedet

may appeas.
CcanpLearersi
Thi auo auo @ted Aeval othen Cemplicatot
thit
uch

tacmmoThage
penforaton

Sone tine also leco to ohe Enuction Cduodencd Atenotü

ans fotmatien, a cu e y errly


Matignoant
Neve

Mott Cormafy OC U al a H pylori nketon,

Othenfactoot May be

- Genetc

Smoke
Parcraatis

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