History: 60-year old female complains of epigastric pain that occurs about 2 hours after meals. She states it is a burning sensation, sometimes relieved with antacids. She also complains of bloating and fullness, has smoked one pack of cigarettes/day for 20 years. She does have a glass of wine with her evening meal. She has taken ibuprofen for arthritis pain in her left knee for about 4 years. She thinks her father had an ulcer. She is currently taking lisinipril 10 mg po daily for hypertension and U nidur 400 mg for mild COPD. AdvantageDisadvantageMaalox 30 mL after meals and at bedtime Cimetidine 200 mg 4 times a day Sucralfate 1 gram four times a day 30 minutes before meals and at bedtime History: A 55 year-old man is hospitalized with GI bleeding. He has a history of peptic ulcer disease. He states he has had tarry stools and coffee ground emesis with abdominal cramping throughout the day. He begins to vomit bright red emesis, BP falls to 80/56, pulse increases to 120 and he is very restless. Complete the following table. Gastric Ulcer Duodenal Ulcer Acid secretion Connection with NSAID use H. pylori as etiology Age incidence MortalitySymptomsRelief measures Complications Advantage Disadvantage Maalox 30 mL after meals and at bedtime Cimetidine 200 mg 4 times a day Sucralfate 1 gram four times a day 30 minutes before meals and at bedtime.