• 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.
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