A 16-year-old female with anorexia and bulimia is admitted for hematemesis. She admits to inducing vomiting often. On physical examination, you note pallor, body mass index less than 15, and hypotension. A likely reason for hematemesis is:

Question

Quizplus · Accepted Answer

Mallory-Weiss tears are lacerations of the mucosa at the junction of the stomach and esophagus, which are often caused by severe vomiting. Given the patient's history of inducing vomiting frequently, this is the most likely cause of her hematemesis.

A 16-Year-Old Female with Anorexia and Bulimia Is Admitted for Hematemesis