18th July 2023

A 56-year-old gentleman who is dependent on alcohol is admitted under the medical team following a single episode of haematemesis

A 56-year-old gentleman who is dependent on alcohol is admitted under the medical team following a single episode of haematemesis. He reports a 2-day history of severe vomiting after a recent alcohol binge and then a sudden episode of haematemesis. He normally drinks 1.5L of vodka per day for the last 10 years. His observations are as follows:

Temperature 37.6oC

Heart Rate 95

Blood Pressure 95/55

Respiratory Rate 16

Oxygen saturation 95% RA

On examination, his heart rate is regular with no murmurs and his chest is clear on auscultation. He has no abdominal pain or distention. A PR examination does not reveal any fresh blood or melaena.

Which of the following is the most likely cause of his haematemesis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.