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[Expert Solution]: A 55-year-old Somali female presents today…

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A 55-year-old Somali female presents today to your office for complaints of chronic epigastric pain and “gas” for over 1 year now. She has taken tums and ranitidine without improvement of symptoms. Spicy foods make symptoms worse. She has poor appetite and nausea more often in the last couple months. Your differentials include gastroesophageal reflux, gallbladder disease, peptic ulcer disease, pancreatitis, and h.pylori.

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