Abstract
Question: A 44-year-old Vietnamese woman with a past medical history of hypertension presented with a 3-day history of diffuse intermittent abdominal pain associated with nausea, nonbloody nonbilious emesis, and brown loose stools. She noted worsening multiarticular joint pain including her fingers, wrists, shoulders, hips, and knees, associated with morning stiffness. She recalled a similar episode of abdominal pain with concurrent joint symptoms 2 months ago, which spontaneously resolved.
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