Image Procedures: OGDS H Pylori

This is an OGDS finding of a 26 years old male who presented with chronic epigastric pain for 3/12 duration and recent onset of passing out haematemesis. The OGDS picture shows a Forest 2C ulcer (covered with hematin) and the Pronto test is positive. The patient was diagnosed with Peptic Ulcer Disease with H Pylori infection. He was then treated with triple therapy consist of T. Omeprazole 40 mg OD, T. Metronidazole 400 mg t.d.s and T. Amoxicillin 500 mg Q.I.D for two weeks duration. On follow up two weeks later, his symptoms improving.

Read also Rapid Urease Test [link]

Wrist Distractor for Barton’s Fracture

Previously i was posting a case of Barton fracture or simply means fracture of distal end of radius extending to the intra articular surface. Basically, if CMR fails, the alternative is by doing a open reduction and internal fixator. 

Well, here is another alternative of treatment that we did here. Using a close reduction under portable x ray machine and fix it with wrist distractor. Alignment is satisfactory and with good result also. 

Radius fracture: [Link]

Answer to Radius fracture notes [Link]