What is the most likely clinical diagnosis for this patient

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Question: A 61-year-old American woman was referred to a Gastroenterology Clinic from a primary care provider due to consistent discomfort and significant weight loss. She presented with a 2-month history of burning pain in the epigastric abdomen and chest which radiated toward her back. Her pain worsened after taking aspirin and drinking coffee, and was relieved after taking antacids. She had previously lost 10 pounds in 2 months due to decreased intake caused by the feeling of bloating, early fullness and stomachaches between meals. She also reported nausea and vomiting. She expressed concern especially because the food appeared undigested when she vomited.Past Medical History Heart attack 3 months ago, has started taking aspirin since then. Osteoarthritis, diagnosed 3 years ago. Long-term use of the non-steroidal anti-inflammatory drug (NSAID) since diagnosis. Acute pancreatitis 5 years ago, resolved with pharmacotherapy, no recurrence. Chronic obstructive pulmonary disease, diagnosed 11 years ago. Diabetes Mellitus and hypertension diagnosed 6 years ago. No surgical history.4. What is the most likely clinical diagnosis for this patient?

Reference no: EM133712899

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