Paeds Cases · gastroenterology-hepatology-and-nutrition
Peptic disease and Helicobacter pylori — OSCE
OSCE counselling and clinical reasoning station for a child with confirmed H. pylori-associated peptic disease.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
You have 8 minutes with the parent of a 10-year-old whose endoscopy has confirmed an H. pylori-associated duodenal ulcer. Explain the diagnosis, the eradication plan, and how cure will be confirmed.
Station brief (candidate)
- Explain in plain language what H. pylori is and how it caused the ulcer.
- Outline the eradication plan, its 14-day duration, and why adherence matters.
- Explain how and when eradication will be confirmed.
- Address the family's questions about antibiotics, side effects, and recurrence.
- Avoid promising a breath test as the diagnosis or a short antibiotic course. [1] [5]
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References5Show ledgerHide ledger
- [1]Homan M Updated joint ESPGHAN/NASPGHAN guidelines for management of Helicobacter pylori infection in children and adolescents (2023). J Pediatr Gastroenterol Nutr, 2024.PMID 39148213
- [2]Jones NL Joint ESPGHAN/NASPGHAN Guidelines for the Management of Helicobacter pylori in Children and Adolescents (Update 2016). J Pediatr Gastroenterol Nutr, 2017.PMID 28541262
- [5]Chan C Antimicrobial susceptibility-guided treatment is superior to empiric therapy for Helicobacter pylori infection in children. J Pediatr Gastroenterol Nutr, 2025.PMID 40778419
- [8]Malfertheiner P Management of Helicobacter pylori infection: the Maastricht VI/Florence consensus report. Gut, 2022.PMID 35944925
- [9]Rogalidou M Balancing therapeutic benefits and hidden risks of proton pump inhibitors in pediatric practice: a narrative review and update. Clin Exp Pediatr, 2026.PMID 41736231