6.

How to diagnose the

scenario!

Anamnesis

In the anamnesis can be found

gastrointestinal symptoms such as :
Dyspepsia
Heartburn
Abdominal discomfort
Nausea
Vomitting
Feeling of fullness in the abdomen
Reference : D Adebayo and Bjarnason. Is non-steroidal antiinflammatory drug (NSAID) enteropathy clinically more important than
NSAID gastropathy. Online (17 December 2015). Available from URL :
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563708/

 Physical examination
Inspection : inspection the patientscondition.
Appear weight loss,pale,looked in pain.
Auscultation : assessing the intestinal
peristaltic
Palpation : It can be found tenderness in the
epigastric region and can be found abdominal
distension in severe symptoms
Percussion : Hear the tympani sound at
abdomen
Reference : Emmanuel, Anton, Stephen Inns. Gastroenterologi
dan Hepatologi. Jakarta: Erlangga. 2007. Page 1-7

 Supporting Examination
1. Laboratorium examination
-Endoscopy
It can be found on mucosal congestion, small
erosions and sometimes accompanied by
minor bleeding. Such lesions can be cured.
More severe lesions can be multiple erosions
and ulcers, extensive bleeding and
gastrointestinal perforation.
Reference : D Adebayo and Bjarnason. Is non-steroidal antiinflammatory drug (NSAID) enteropathy clinically more
important than NSAID gastropathy. Online (17 December 2015).
Available from URL :
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563708/

 Blood test
The doctor may perform various blood
tests, such as checking your red blood cell
count to determine whether you have
anemia, which means that you do not have
enough red blood cells. He or she can also
screen forH. pyloriinfection and
pernicious anemiawith blood tests.
Reference : D Adebayo and Bjarnason. Is non-steroidal antiinflammatory drug (NSAID) enteropathy clinically more important
than NSAID gastropathy. Online (17 December 2015). Available
from URL :
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563708/

 Histopathological examination
It can be found epithelial regeneration,
hyperplasia foveolar, edema of the lamina
propria and the expansion of smooth muscle
fibers in the direction of the mucosa. The
expansion is considered abnormal if it
reaches approximately the top third.
Reference : D Adebayo and Bjarnason. Is non-steroidal antiinflammatory drug (NSAID) enteropathy clinically more important
than NSAID gastropathy. Online (17 December 2015). Available
from URL :
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563708/