Card 16 / 30: A 68 year old man is admitted to the intensive care unit with a massive upper GI bleed. He is awaiting liver transplantation for advanced hepatitis C related cirrhosis. He is known to have esophageal varices and you suspect this is the most likely cause of the bleeding. Which of the following would you most likely expect to find in this patient?
A)
Thick walled esophageal varices
B)
Small varices (grade I)
C)
Hepatic vein pressure gradient less than 12mmHg
D)
Duodenal ulcer
E)
Hepatic vein pressure gradient greater than 12mmHg
Answer:
E) Hepatic vein pressure gradient greater than 12mmHg
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Gastrointestinal Pathophysiology Exam 2005
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
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