**Question 122 (Gastroenterology)**
A 75-year-old woman presents with a 7-day history of severe epigastric pain that is relieved by vomiting and worsens with eating. She has been taking medication for joint pain for the last 2 months. What is the most likely diagnosis?
A) Esophagitis
B) Acute gastritis
C) Boerhaave's syndrome
D) Perforated peptic ulcer
E) Gastroesophageal reflux disease (GERD)
**Correct Answer:** B) Acute gastritis
**Explanation:**
The patient's presentation of severe epigastric pain that worsens with food intake and is relieved by vomiting is suggestive of acute gastritis. The history of medication use for joint pain, which likely includes NSAIDs, supports the diagnosis as NSAIDs are known to cause gastric mucosal damage leading to gastritis. The other options are less likely based on the clinical presentation and the absence of more severe symptoms that would be indicative of conditions like a perforated ulcer or Boerhaave's syndrome.