,CLINICAL RESUME: , This 83 year-old woman who presented to the ER with complaints of nausea, vomiting, and epigastric discomfort, ongoing for about 4 to 5 months. 
,CLINICAL RESUME : , This 83 year - old woman who presented to the ER with complaints of nausea , vomiting , and epigastric discomfort , ongoing for about 4 to 5 months .