Problem: The initial step in the management of peptic ulcer disease (PUD): Want Online Help? A- is to determine if complications associated with the peptic ulcer are present. A OB-is to establish the underlying etiology of the peptic ulcer, which will direct treatment. OC-is aimed at diminishing prostaglandin synthesis, to allow healing of the stomach mucosa. D- is to instruct the patient in a reflux-reducing diet and the absolute avoidance of nonsteroidal anti-inflammatory drugs (NSAIDs). SUBMIT