A 71-year old woman presents with a 4-week history of dyspepsia and abdominal pain…

A 71-year old woman presents with a 4-week history of dyspepsia and abdominal pain that she describes as gnawing. She states that for years she has had occasional heartburn but she can not recall having abdominal pain. she states that she also has arthritis and has taken Motrin every day for the past 2 years. for the stomach pain she has been taking tums extra strength a couple of times a day she states that the pain began soon after visiting her sister who is a nurse on a mission in Nicaragua. what is her differential diagnosis?

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