A 35-year-old alcoholic has presented with 2 episodes of hematemesis. On examination his pulse rate is 100/min with BP of 90/60 mm Hg. Per abdomen examination shows spleen palpable 3 cm below costal margin. Which is true about this patient?
Ans. D The increased pressure of portal vein pressure should be lowered with octreotideRef: CMDT2019 pg. 627* The presence of splenomegaly with hematemesis points to etiology of portal hypertension. Hence after stabilization of patients with fluids, octreotide should be started to lower the pressure in portal vein.* The leading cause of hematemesis is peptic ulcer disease but this patient is having portal hypertension leading to vomiting of blood.
Elevated CRP and Low C3
Most common site of bleeding is First part of duodenum
Urgent Elective intubation of patient
The increased portal vein pressure should be lowered with octreotide
Heart, Circulation, and Blood