A man presents with history of hemetemesis of about 500 ml of blood. On examination, spleen is palpable 5 cms below the left costal margin. The most likely diagnosis is:
Answer is A (Poal Hypeension) Hemetemesis in a patient with palpable splenomegaly suggests a diagnosis of variceal blood secondary to poal hypeension. Hemetemesis from Gastric ulcer, Mallory Weiss tear and/or drug induced gastritis is not associated with splenomegaly.
Poal Hypeension
Gastric ulcer
Drug induced
Mallory Weiss Tear