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A 52-year-old woman comes to the clinic because of regular episodes of epigastric abdominal pain. The pain occurs a few hours after eating, and is severe (8/10) when it occurs. She has found that eating sometimes helps relieve the pain. Past medical history is significant for obesity and smoking. Physical examination indicates only vague epigastric tenderness to palpation. Which of the following is the most likely diagnosis?
A. Gastric ulcer
B. Duodenal ulcer

Respuesta :

oted26

Explanation:

B. Duodenal ulcer

The patient's symptoms of epigastric abdominal pain that occurs a few hours after eating, is relieved by eating, and is associated with smoking are characteristic of a duodenal ulcer. The pain in duodenal ulcers often occurs when the stomach is empty and is relieved by food intake.

In contrast, gastric ulcers tend to cause pain shortly after eating and are often associated with nausea or vomiting. The patient's presentation is more suggestive of a duodenal ulcer.

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