This week is alcohol week.
A 35 year old alcoholic presents with coffee ground emesis and black tarry stools. "My stomach has been killing me too," he says, "but that's probably from all the vomiting." He notes that when he started vomiting, there was no blood; he only noticed blood after a few hours of retching. He says he's just a binge drinker during the holidays.
Labs show anemia. Upper GI endoscopy shows a hiatal hernia and this:
Challenge: What's your diagnosis?
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