<prompt> A 60 year old male a sudden fall in toilet. His BP was 9050 mm Hg and pulse was 100min. His relatives repoed that his stool was blackdark in colour. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis is-Gastric ulcer with bleedingAcute myocardial infarction with cardiogenic shockAcute cerebrovascular accidentPulmonary embolism  <response>: Peptic ulcers may be in the stomach, the small intestine just below the stomach, or the food pipe above the stomach. Sometimes, peptic ulcers can bleed known as bleeding ulcers. More severe bleeding, known as hemorrhaging, can be life-threatening. Infections and some medications can cause bleeding ulcers Ref Davidson 23rd edition pg 683 