This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Ramu, a 8 year old boy presents with upper GI bleeding. On examination, he is found to have splenomegaly; there are no signs of ascites, or hepatomegaly; esophageal varices are found on UGIE Most likely diagnosis is – \nSelect and explain. \nA. Budd chiari syndrome, B. Non cirrhotic portal hypertension, C. Cirrhosis, D. Veno–occlusive disease', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Clues in this question are -\n\n\nUpper GI bleeding from esophageal varices\xa0\xa0\xa0\xa0\xa0 (iii) No ascites or hepatomegaly\nSplenomegaly\xa0\xa0 (iv) No jaundice\n\n\nAll these indicate Non-cirrhotic portal hypertension.\nTwo most common causes of extrahepatic portal hypertension are\n\n(0 NCPF seen in adults\n(ii) EHPVO --> seen in children\n\nSo, this is a case of non-cirrhotic portal hypertension due to EHPVO. \n\tAbout other options -\nIn Budd-chiari syndrome (Hepatic vein thrombosis) and venocclusive disease, there will be hepatomegaly, jaundice and ascites.\nIn cirrhosis, jaundice and ascites will be seen.', 'role': 'assistant'}]