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[Solved]: A 44-year-old male who presents with melena and…

A 44-year-old male who presents with melena and persisting epigastric pain that goes to a 10/10 after eating just a few bites of food. Clinical history reveals that he is a smoker and a weekend binge drinker. Lab tests show slight leukocytosis, normal amylase and Ipase enzymes, normal bilirubin and normal AST and ALT. Physical exam is negative for abdominal rebound tenderness, negative for Murphy’s sign, and the H. Pylori breath test is positive. What is the most likely cause of the patient’s symptoms?

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