Certainly! Here's the continuation of the paraphrased question with options, correct answer, and explanation:
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### **Specialty: Gastroenterology**
**Question:**
A 47-year-old male presents to the emergency room after experiencing frequent vomiting due to suspected food poisoning over the past 24 hours. He now reports vomiting fresh blood for the last 2 hours. What is the most likely diagnosis?
**Options:**
A) Gastritis
B) Dieulafoy's lesion
C) Peptic ulcer disease
D) Mallory-Weiss syndrome
E) Esophageal varices
**Correct Answer:** D) Mallory-Weiss syndrome
**Explanation:** **Mallory-Weiss syndrome** is a condition characterized by mucosal tears at the gastroesophageal junction, typically following episodes of severe or repeated vomiting. The presence of fresh blood in vomitus (hematemesis) after frequent vomiting strongly suggests Mallory-Weiss syndrome as the most likely diagnosis in this scenario.
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