This document discusses peptic ulcer disease. It introduces peptic ulcers as areas of degeneration and necrosis in the gastrointestinal mucosa exposed to acid-peptic secretions. It notes that peptic ulcers commonly occur in the stomach or duodenum. The document explores the etiology of peptic ulcers, including how H. pylori and NSAIDs cause ulcers by disrupting the mucosal defenses. Grossly, peptic ulcers appear as small, round-to-oval shaped lesions. Microscopically, there is destruction of mucosal and submucosal tissues. The document references several medical textbooks and acknowledges Barry Marshall for his Nobel Prize-winning discovery of H. py