Arelys Ayo (pronouns they/them/theirs), 70 years old​Chief Complaint: Chronic epigastric pain

Arelys Ayo (pronouns they/them/theirs), 70 years old​Chief Complaint: Chronic epigastric pain, described as “gnawing,” and worsening indigestion.​History of Present Illness: Presents with a history of chronic epigastric pain, characterized as a “gnawing” sensation, and worsening indigestion persisting for the past 6 months. ​Lifestyle Factors: Enjoys spicy foods. Drinks 2 glasses of wine per day. Sleeps in a supine position with the head elevated.​Medication History: Takes insulin for diabetes management. Regularly takes ibuprofen for osteoarthritis.​Family History: Mother and maternal grandmother had peptic ulcer disease.​

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