History of dyspepsia and abdominal pain

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A 71-year-old female presents with a 4-week history of dyspepsia and abdominal pain that she describes as gnawing. She states that for years she has had occasional heartburn but cannot recall having abdominal pain. She states that she also has arthritis and takes Motrin every day for the past 2 years. For her stomach pains, she has been taking Tums extra strength a couple times a day. She states that the pain began soon after visiting her sister, who is a nurse at a mission in a rural area in Nicaragua. Chief Complaint: "My stomach hurts and wakes me up from my sleep. I find myself belching after meals and I feel bloated." Vital signs: Blood pressure 118/70 mm Hg, heart rate 90 beats per minute, respiratory rate 18 breaths per minute, body mass index 29.

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Reference no: EM133598234

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