A 35-Year-Old Man with a History of Alcohol Use Disorder

A 35-year-old man with a history of alcohol use disorder is brought to the ER with hematemesis.  Prior to this, he has had three episodes of vomiting.  His BP is 110/80 mmHg and pulse is 98/min.  He has no jaundice.  Lungs are clear to auscultation.  Abdomen is soft, non tender, and non-distended.  There is no hepatomegaly.  Endoscopy shows longitudinal mucosal tears at the gastroesophageal junction.  This patient's condition is most likely related to which of the following?

A) Intraabdominal pressure
B) Venous pressure
C) Local inflammation
D) Acid reflux
E) Mucosal ischemia

Correct Answer:

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