Question

A 21-year-old man is brought to the emergency room by his friends. One hour earlier he started having excessive retching and he vomited violently several times. He has been drinking for the last 3 hours. The vomitus was mainly bright red blood (about 2 quarts) and dizziness followed. What is the likely causer of this clinical picture?

1. Acute gastritis
2. Carcinoma of stomach
3 Acute esophagitis
4 A gastroesophageal mucosal tear
5 Rupture of the lower esophagus

Answer 1

The likely cause of this clinical picture is Rupture of the lower esophagus, specifically a Mallory-Weiss tear, which is commonly associated with heavy alcohol consumption and forceful vomiting.

Step-by-step explanation:

The likely cause of this clinical picture is Rupture of the lower esophagus. The presence of bright red blood in the vomitus suggests upper gastrointestinal bleeding, and the excessive retching and vomiting prior to the bleeding can lead to a rupture of the lower esophagus known as Mallory-Weiss tear. This tear is commonly associated with heavy alcohol consumption and forceful vomiting.