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Related Concept Videos

Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
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Peptic Ulcer Disease II: Pathophysiology01:28

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Peptic Ulcer Disease (PUD) is characterized by the development of ulcers in the stomach or duodenal mucosa. Its pathophysiology is complex, involving a balance between damaging and protective elements.
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
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Chronic Pancreatitis II: Collaborative Care01:29

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Peptic Ulcer Disease I: Introduction01:30

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Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
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Practitioners' knowledge base for assessing and treating chronic ulcers: a scoping review.

Maryellen Blevins1

  • 1A.T. Still University, Arizona School of Health Sciences, Doctor of Medical Science Program, AZ, US.

Journal of Wound Care
|March 11, 2026
PubMed
Summary

Practitioners often lack knowledge in assessing and treating chronic ulcers, with accessibility of evidence-based information being a key barrier. Further research is needed across specialties to improve wound care education.

Keywords:
algorithmschronic ulcerchronic wound carewoundwound carewound dressingwound healingwound management

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Area of Science:

  • Medical Science
  • Wound Care Research

Background:

  • Chronic ulcers are wounds failing to close within 30 days.
  • Effective assessment and treatment require a robust knowledge base among practitioners.
  • Gaps in knowledge can lead to suboptimal patient outcomes.

Purpose of the Study:

  • To establish the current knowledge base on chronic ulcer assessment and treatment.
  • To identify medical specialties most affected by knowledge deficits in wound care.
  • To determine barriers hindering practitioners' development of wound care expertise.

Main Methods:

  • Scoping review adhering to PRISMA-S and JBI guidelines.
  • Searched English literature from 2016-2022 using terms like 'wound care' and 'chronic wound management'.
  • Utilized OneStill Search and reference list reviews for comprehensive literature retrieval.

Main Results:

  • 13 qualitative studies published 2019-2021 were included.
  • General/primary care practitioners showed knowledge deficits in arterial assessment, compression use, and antibiotic overuse.
  • Lack of accessible, evidence-based information was identified as the primary barrier.

Conclusions:

  • General/primary care practitioners exhibit a significant knowledge gap in chronic wound management.
  • Further research is required across various specialties, including mid-level practitioners, to ascertain the full extent of the problem.
  • Novel educational strategies are necessary to overcome existing barriers and enhance wound care knowledge.