Peptic Ulcer Disease
Hx: Alleviated by eating, Melena, Unexplained Hypotension, NSAID use, H.pylori infection, Not so acute pain, Unintentional Weight Loss burning” epigastric pain and fullness, postprandial belching, bloating, anorexia, nausea, and vomiting. Pain due to a duodenal ulcer classically occurs several hours after a meal when the stomach is empty, Travel and Contact History, Smoking, Hematamesis, bleeding, anemia, early satiety, unexplained weight loss, progressive dysphagia or odynophagia, recurrent vomiting,Nocturnal Awakening, fullness and bloating
Sign: Succussion Splash (in case of obstruction)