<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 23-year-old college senior visits the university health clinic after vomiting large amounts of blood. He has been vomiting for the past 36 hours after celebrating his teams win at the national hockey championship with his varsity friends while consuming copious amounts of alcohol. His personal medical history is unremarkable. His blood pressure is 12989 mm Hg while supine and 10070 mm Hg while standing. His pulse is 98min, strong and regular, with an oxygen saturation of 98. His body temperature is 36.5C 97.7F, while the rest of the physical exam is normal. Which of the following is associated with this patients condition?? A: Portal hypertension, B: Esophageal perforation, C: Esophageal metaplasia, D: Output of the esophageal mucosa, E: Esophageal tear,  <response>: This is a medical question asking about the likely cause of a 23-year-old man vomiting large amounts of blood after celebrating and drinking alcohol. Based on the description, it seems he likely has some form of damage or tear in his esophagus from the vomiting associated with alcohol consumption. The normal vital signs and unremarkable medical history suggest this is an acute issue not related to an underlying condition. We can rule out choices related to chronic conditions like portal hypertension or metaplasia. Instead, we should look for an answer indicating an acute esophageal injury from the described behavior.E: Esophageal tear 