A 51-year-old man has a sudden onset of massive emesis of bright red blood. On physical examination, his temperature is 36.9deg C, pulse is 103/min, respirations are 23/min, and blood pressure is 85/50 mm Hg. His spleen tip is palpable. Laboratory studies show a hematocrit of 21%. The serologic test result for HBsAg is positive. He has had no prior episodes of hematemesis. The hematemesis is most likely to be a consequence of which of the following?
A 51-year-old man has a sudden onset of massive emesis of bright red blood. On physical examination, his temperature is 36.9deg C, pulse is 103/min, respirations are 23/min, and blood pressure is 85/50 mm Hg. His spleen tip is palpable. Laboratory studies show a hematocrit of 21%. The serologic test result for HBsAg is positive. He has had no prior episodes of hematemesis. The hematemesis is most likely to be a consequence of which of the following?
💡 Explanation
A 51-year-old man has a sudden onset of massive emesis of bright red blood. On physical examination, his temperature is 36.9deg C, pulse is 103/min, respirations are 23/min, and blood pressure is 85/50 mm Hg. His spleen tip is palpable. Laboratory studies show a hematocrit of 21%. The serologic test result for HBsAg is positive. He has had no prior episodes of hematemesis. The hematemesis is most likely to be a consequence of which of the following?
✓ Correct Answer: C. Esophageal varices
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