Mallory-Weiss tear is most likely to present after which sequence?

Mallory-Weiss tear is most likely to present after which sequence?

• A. Severe Abdominal Pain After Meals
• B. Jaundice and Dark Urine
• C. Hematemesis Following Forceful Vomiting
• D. Chronic Iron Deficiency Anemia

Answer: (C)

Mallory-Weiss tear is a mucosal laceration at the gastroesophageal junction caused by forceful vomiting or retching. The hallmark sequence is hematemesis following a bout of vomiting, because the tear bleeds as the stomach contents are expelled. This presentation fits best with the scenario of experiencing forceful vomiting followed by vomiting blood. In contrast, jaundice and dark urine point to liver or biliary disease, severe abdominal pain after meals suggests a different GI issue like ulcers or pancreatitis, and chronic iron deficiency anemia reflects slow, chronic blood loss rather than an acute mucosal tear after vomiting.

Mallory-Weiss tear is a mucosal laceration at the gastroesophageal junction caused by forceful vomiting or retching. The hallmark sequence is hematemesis following a bout of vomiting, because the tear bleeds as the stomach contents are expelled. This presentation fits best with the scenario of experiencing forceful vomiting followed by vomiting blood. In contrast, jaundice and dark urine point to liver or biliary disease, severe abdominal pain after meals suggests a different GI issue like ulcers or pancreatitis, and chronic iron deficiency anemia reflects slow, chronic blood loss rather than an acute mucosal tear after vomiting.