{"ops":[{"insert":"A 74 year old Bangladeshi man presents with anorexia, nausea, vomiting, and intermittent upper abdominal pain for 3 weeks.\n\nHis medical history is significant for an episode of gram negative meningitis 12 months ago, and chronic obstructive pulmonary disease for 15 years, with numerous exacerbations, the most recent of which was 2 months earlier.\n\nHe is currently on inhaled corticosteroid therapy, and also consumes antacid tablets frequently, due to recurrent dyspeptic symptoms.\n\nHe does not drink, and stopped smoking 13 years ago, with a total pack-history of 11 years. He is currently visiting his son, who is employed in your country.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-076_en.png"}},{"insert":"\n"}]}