Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent epigastric pain, nausea, and early satiety. History significant for recent viral prodrome, including fatigue, low-grade fever, and pharyngitis. Symptoms refractory to standard PPI therapy. No history of NSAID use or H. pylori infection.
Clinical Examination Findings
Abdominal examination reveals mild epigastric tenderness without rebound or guarding. Oropharyngeal exam shows mild erythema and possible tonsillar hypertrophy. Lymphadenopathy noted in cervical regions. Hepatosplenomegaly absent on palpation.
Treatment Protocol
Supportive care initiated. Management includes hydration, analgesics for pain, and PPIs for gastric mucosal protection. EBV-specific antiviral therapy reserved for severe or immunocompromised cases. Monitor for secondary bacterial infection or gastric ulceration. Follow-up EGD with biopsy recommended if symptoms persist.