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Review Question - QID 212399

Peptic Ulcer Disease Treatment Surgery QID: 212399 (M2.OMB.18.4756)
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QID 212399 (Type "212399" in App Search)
A 59-year-old woman presents to the emergency department with sudden onset abdominal pain that started this morning. The patient has a past medical history of alcoholism, obesity, and peptic ulcer disease and her current medications include ibuprofen, acetaminophen, and naproxen. Her temperature is 98°F (36.7°C), blood pressure is 117/58 mmHg, pulse is 120/min, respirations are 16/min, and oxygen saturation is 99% on room air. Physical exam is notable for diffuse abdominal tenderness with epigastric tenderness. The patient is currently vomiting and smells of alcohol. A radiograph is obtained as seen in Figure A and laboratory values are pending. Which of the following is the most likely diagnosis?
  • A
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  • A