Year 4common
A 32-year-old male presents to the emergency room complaining of multiple episodes of forceful vomiting followed by vomiting of blood. The patient consumed a bottle of vodka this morning before the incident. His blood pressure is 120/80 mmHg, heart rate is 85 BPM, and temperature is 37°C. On examination, there is mild epigastric tenderness. The patient has no prior history of chronic liver disease or gastrointestinal hemorrhage. Which of the following is the most likely diagnosis?