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Originally Posted by drex
she had a rather atypical acute presentation of h pylori -- sounded almost like an acute gallbladder or perforated peptic ulcer... having an elevated WBC and RUQ/mid epigastric pain of sudden onset is not typical of hpylori infection. this is something that is normally discovered in individuals who are not responsive to treatment for acid reflux or gastritis/PUD using standard H2 therapy...
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Reminds me of the concept from test-taking-- "True, True, but unrelated".
She could have H. pylori gastritis (or asymptomatic infection, not yet developed into gastritis/peptic ulcer), and still have gallbladder dysfunction or other problems.
What I am saying is that I certainly hope the treatment for gastritis is all she needs. Doctors, like anyone else being a "detective", have to guard against falling for the obvious answer, and missing the true source of the problem. Drex, in trauma, you know the concept as "distracting injury"! It can distract the doctor as much as the patient!