A 76-year-old woman with a history of recently diagnosed gastritis, osteoarthritis, depression, and hypertension presented to the emergency department (ED) for generalized weakness after an unwitnessed fall. She was found by her son, who stated that she had been feeling weak during the past few weeks and had had daily episodes of nausea with nonbilious and nonbloody vomiting that had increased in frequency during the past week. On the patient's arrival, her pulse rate was 100 beats/min, temperature 97.2°F, respiratory rate 24 breaths/min, oxygen saturation 100% on room air, and blood pressure 128/60 mm Hg.
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