General Surgery
Perforated Peptic Ulcer
Erect CXR, CT confirmation, Taylor conservative method vs emergency laparoscopic repair of PPU
Source: WSES / ESGE / NICE guidelines
Step 1 of ~10
info
Perforated Peptic Ulcer
Sudden onset severe epigastric pain radiating to shoulder tip. Rigid abdomen, absent bowel sounds, peritonism. History: NSAIDs, H. pylori, steroids, smoking. Mortality 5–30%. Resuscitate and investigate simultaneously.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
- Labetalol (IV — Hypertensive Emergency) · Combined alpha and beta blocker
Decision support only. Always apply local guidelines and clinical judgement.