Identify Indication for PPI? Chronic NSAID users with bleeding risk Gastroesophageal reflux disease (GERD) Documented history of bleeding GI ulcer Upper Gl symptoms without endoscopy Mild to moderate esophagitis ICU stress ulcer prophylaxis Uncomplicated H. pylori Barrett’s esophagus Severe esophagitis Peptic Ulcer Disease Unclear or Unknown Indication Patient on warfarin Patient on clopidogrel Patient on NGT