What factors may have contributed to the development of PUD? 

A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching.   PMH-+ for osteoarthritis, seasonal allergies with […]

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