42-year-old presenting with acute heatemesis

Written by Med-Challenger | Nov 14, 2024 5:39:07 PM

A 42-year-old man presents with acute hematemesis. The patient has been having retching and vomiting for about 45 minutes before his admission. He is also complaining of epigastric pain. On physical examination, he is tachycardic and hypotensive. Upper endoscopy reveals the presence of mucosal lacerations in the distal esophagus (see Figure).

Figure.

The most likely condition associated with Mallory-Weiss tears is which of the following?

puerperium
cirrhosis
alcohol use disorder
anorexia

Educational Objective:

Examine alcohol use disorder as a common trigger of Mallory-Weiss tears.

This question appears in Med-Challenger Internal Medicine Review with CME

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