3 Weeks in Medicine / Internal Medicine — 58yo Man | Gastroenterology | SMLE Q#1321
SMLE Question #1321
Medicine / Internal Medicine
Gastroenterology
Last updated: February 2026
A 58-year-old man presents 2 hours after one episode of bright-red hematemesis. For 3 weeks, he has burning epigastric pain worse at night and partially relieved by food and antacids. He appears pale but is alert. Examination shows no jaundice, ascites, or spider naevi. What is the most likely diagnosis?
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