1 Day Of Severe in Medicine / Internal Medicine — 46yo Man | Gastroenterology | SMLE Q#11586
SMLE Question #11586
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 46-year-old man presents to the emergency department with 1 day of severe epigastric pain and repeated vomiting, followed by one small-volume episode of haematemesis. He drinks heavily and has a history of peptic ulcer disease treated with a proton pump inhibitor. Examination shows epigastric tenderness without guarding or rebound. What is the most likely diagnosis?
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