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Medicine
A 56-year-old man with a history of heavy alcohol consumption is admitted with sudden massive hematemesis and hypotension. On examination there is jaundice, spider angiomata, abdominal distension with shifting dullness, and edema.Select the most likely cause of gastrointestinal blood loss
Mallory-Weiss tear
Aortoenteric fistula
Gastric ulcer
Esophageal varices
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