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What is 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: and explain in detail?
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.