splenomegaly and ascites

Discussion in 'MRCS Forum' started by Kim., Mar 28, 2008.

  1. Kim.

    Kim. Guest

    A 60-year-old male alcoholic is admitted to the hospital with hematemesis. His blood pressure is 100/60 mmHg, physical examination reveals splenomegaly and ascites, and initial hematocrit is 25%. Nasogastric suction yields 300 ml of fresh blood.

    After initial resuscitation, this man should undergo -
    a- Esophageal balloon tamponade
    b- Barium swallow
    c- Selective angiography
    d- Esophagogastroscopy
    e- Exploratory celiotomy
    Answer: d.

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