Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic epigastric pain, early satiety, and significant weight loss. History includes constitutional symptoms such as low-grade evening fevers, night sweats, and fatigue. No prior history of peptic ulcer disease or NSAID use. Recent travel or exposure history to endemic regions for tuberculosis noted.
Clinical Examination Findings
Physical examination reveals epigastric tenderness on deep palpation. No evidence of organomegaly or palpable abdominal masses. Lymphadenopathy may be present in cervical or supraclavicular regions. Patient appears cachectic with signs of mild pallor. Bowel sounds are normoactive.
Treatment Protocol
Initiate standard anti-tubercular therapy (ATT) regimen (2HRZE/4HR). Monitor liver function tests (LFTs) and complete blood count (CBC) regularly. Consider proton pump inhibitor (PPI) therapy for symptomatic relief of gastritis. Nutritional support and vitamin supplementation are recommended. Surgical intervention (e.g., bypass or resection) reserved for complications such as gastric outlet obstruction or perforation.