A man presents with history of hemetemesis of about 500ml of blood. On examination, spleen is palpable 5 cms below the left costal margin. The most likely diagnosis is -
<p>Davidson&;s principles and practice of medicine 22nd edition. *The clinical features results from poal venous congestion and collateral vessels formation .Splenomegaly is the cardinal finding .spleen is rarely enlarged more than 5 cm below the left costal margin in adults . # collateral vessal formation occurs in oesophagus and stomach causing hemetemesis.</p>
Poal Hypeension
Gastric ulcer
Drug induced
Mallory Weiss Tear
G.I.T