An 18 yr old male presents with massive hematemesis; he has history of fever for the past 14 days for which he was managed with drugs; moderate splenomegaly is present; diagnosis is:
Answer is C (Esophageal varices) Presence of massive haematemesis in the background of moderate splenomegaly suggests a diagnosis of esophageal varices secondary to poal hypeension. Esophageal varices : Most common presentation of esophageal varices is Hematemesis. 'Splenomegaly, sometimes with hipersplenism, is the next most common presenting feature in the poal vein obstruction.'
NSAID induced duodenal ulcer
Drug induced gastritis
Esophageal varices
None of the above.