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Surgery General a970d3e8

Drug induced portal hypertension is seen with -

A
Vitamin A toxicity
B
Methotrexate
C
Aldomet
D
Valproic acid
High-Yield Explanation
Normal doses of vitamin A are not associated with liver injury or liver test abnormalities, but higher doses can be toxic Mechanism of Injury • Excess vitamin A is stored in stellate cells in the liver and accumulation can lead to their activation and hypertrophy, excess collagen production, fibrosis and liver injury. • Serum bilirubin is typically only mildly elevated. • Liver biopsy is diagnostic

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