Review Question - QID 213245

A 48-year-old man is brought to the emergency department for hematemesis that occurred 1 hour ago. Per his wife, the patient went out with his friends last night and came home extremely drunk. He has been vomiting for the past several hours when he noticed some bright-red blood within the emesis. He reports only that 1 episode and denies any weight loss, chest pain, lightheadedness, dyspnea, fever, abdominal pain or prior occurrences. His past medical history is significant for diabetes and GERD, both well controlled with medications. A physical examination is unremarkable except for a moderate abdominal fluid wave and the skin finding shown in Figure A. His vital signs are stable and within normal limits. What is the most likely endoscopic finding in this patient causing the clinical presentation?