Medical MCQ - 35 year ahas 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?

35 year ahas 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?

Elevated CRP and Low C3

Most common site of bleeding is First pa of duodenum

Urgent Elective intubation of patient

The increased pressure of poal vein pressure should be lowered with octreotide

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Correct Answer:

The increased pressure of poal vein pressure should be lowered with octreotide

Description:

Hematemesis + splenomegaly- Poal hypeension Elevated CRP + Low C3 (Only with inflammatory condition) Most common site of bleeding in 1st pa of duodenum - Peptic ulcer disease Urgent reflective intubation - bleeding esophageal varices The increased pressure of poal vein pressure should be lowered with octreotide - poal hypeension For prevention - Propranalol TOC - UGIE + Sclerotherapy 1st line - Fluid resuscitation

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