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:: (A) Poal Hypeension, (B) Gastric ulcer, (C) Drug induced, (D) Mallory Weiss Tear
Answer is A. 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.