32 yr old man presenting with vomiting of blood and abdominal pain

A 32 yr old man who is a resident of nalgonda labourer by occupation married for 6 yrs came to OPD with chief complaints of vomiting of blood 3 days back and abdominal pain since 3 days.
HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic 3 days back.Then on that morning he had breakfast.after that he had vomited blood which was bright red in colour of nearly 100 ml which was followed by abdominal pain in the epigastric region 
No history of melena
No history of prior vomiting history
No history of fever
No history of intake of contaminated food and water
PAST HISTORY:
History of 5-6 episodes of abdominal pain
No history of TB,DM,HTN,CAD,CVA,asthma,thyroid
PERSONAL HISTORY:
Married for 6 yrs and has a girl child
Diet:mixed diet
Appetite:good
Bowel and bladder:regular
Sleep:adequate
Addictions:alcoholic for 6 yrs
                     Non smoker
                      Betelnut chewer
No allergies
FAMILY HISTORY:
Not significant

GENERAL EXAMINATION:
Patient is conscious
Oriented
Comfortable
Co-operative
Built-moderately built
Nourishment-moderately nourished
Afebrile
Palor-absent
Icterus-absent
Cyanosis – absent
Clubbing – absent
Pedal edema – absent
 Lymphadenopathy-absent
VITALS:
pulse rate:73bpm
Respiratory rate:18c/m
Blood pressure:140/90
Temperature:afebrile
SYSTEMIC EXAMINATION:
INSPECTION:
Shape:scaphoid
Umbilicus:central,inverted
Skin:normal
Dilated veins:no
No visible gastric peristalsis
Movements of abdominal wall:normal
PALPATION:
SUPERFICIAL PALPATION:
 No Tenderness
No local rise of temperature
DEEP PALPATION:
liver:not palpable
Spleen:not palpable
Kidney:not palpable
PERCUSSION:
Fluid thrill:absent
Liver span:14cm
AUSCULTATION:
Bowel sounds:normal
EXAMINATION OF OTHER SYSTEMS:
CARDIOVASCULAR SYSTEM:
S1,S2 Heard
 no added heart sounds
RESPIRATORY SYSTEM:
broncho vesicular breath sounds heard
CNS EXAMINATION:
Motor system and sensory system intact
DIFFERENTIAL DIAGNOSIS:
Mallory weise tear
Gastric cancer
Peptic ulcer
INVESTIGATIONS:

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