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Surgery Diagnostic Evaluation of the Esophagus 55ff2ac5

First step to be done in case of variceal bleeding-

A
Blood transfusion
B
IV Crystal]oides
C
Endoscopy
D
Somatostatin
High-Yield Explanation
Ans. is 'b' i.e., iv crystalloides Initial resuscitation is usually with isotonic crystalloid solutions. A minimum of 6 units of blood are typed and crossmatched for most patients. If PT is prolonged more than 3 seconds, fresh frozen plasma is a component of the resuscitation volume.Endoscopy to determine cause of bleeding - endoscopic sclerotherapy or endoscopoic variceal ligation and injection with cynoacrylate.iv antibiotics.Somatostatin/Octreotide.Balloon tamponade.

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