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Medicine Bleeding from the GUT and diseases of esophagus fbc5ca20

35 year ahas presented with 2 episodes of hematemesis. On examination his pulse rate is 100/min with BP of 90/60 mm Hg. Per abdomen examination shows spleen palpable 3 cm below costal margin. Which is true about this patient?

A
Elevated CRP and Low C3
B
Most common site of bleeding is First pa of duodenum
C
Urgent Elective intubation of patient
D
The increased pressure of poal vein pressure should be lowered with octreotide
High-Yield Explanation
Hematemesis + splenomegaly- Poal hypeension Elevated CRP + Low C3 (Only with inflammatory condition) Most common site of bleeding in 1st pa of duodenum - Peptic ulcer disease Urgent reflective intubation - bleeding esophageal varices The increased pressure of poal vein pressure should be lowered with octreotide - poal hypeension For prevention - Propranalol TOC - UGIE + Sclerotherapy 1st line - Fluid resuscitation

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