Pitfalls

NSAID-induced PUD is often asymptomatic until patients present with complications.
Failure to assess for red flag features in patients presenting with dyspepsia may result in delays in diagnosing malignancy or miss those with serious complications such as UGIB.
Signs and symptoms of UGIB may be subtle. A thorough history, examination including DRE and review of bloods is required.
Consider marginal ulcers as a possible cause of dyspepsia in patients who have undergone obesity surgery.