... Objectives PEPTIC ULCER DISEASE Peptic ulcer diseas-Tran Ngoc Anh MD 1.Recognize the typical clinical presentation and risk ... ulcer silent Ve Dyspeptic are non specific: 20-25% NSAIDS: 15%of patients longterm NSAIDS (Piroxicam, Feldene, Ketorolac, Toraldo, Celceb, Indomethacine, Ibuprofen, Selective COX2) Peptic ulcer ... fluid in the stomach: gastric outlet obstruction Peptic ulcer diseas-Tran Ngoc Anh MD CLINICAL FEATURES Typical symptoms Alarm symptoms Peptic ulcer diseas-Tran Ngoc Anh MD • Epigastric pain •...