A 47-year-old woman on long-term disability for depression, post-traumatic stress disorder, and fibromyalgia presents

A 47-year-old woman on long-term disability for depression, post-traumatic stress disorder, and fibromyalgia presents with a two-week history of epigastric discomfort, decreased appetite, black sticky stools, and fatigue. While obtaining the history, the physician begins to form a differential diagnosis. Which of the following associated factors would support a diagnosis of upper GI bleed? Recent use of iron supplements to help with her fatigue. A diagnosis of fatty liver incidentally made on ultrasound by her family doctor. A former history of alcohol addiction and sober now for three years. A family history of pancreatic cancer. An increased use of anti-inflammatory medications over the last four months for her fibromyalgia symptoms.