Patient is a 66 year old male admitted for protracted vomiting of bright red blood. Vitals are: 88/58, HR 128 RR

12 T 97.6. The leading differentials include all EXCEPT:

A. Peptic ulcer

b. Portal hypertension with esophageal vacices

c. Acute hemorrhagic gastritis

d. Zollinger-Ellison syndrome

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