a 66 yr old male - stenosis

[ArchivalUser]

came with hematemesis & melena.He had intermitent RUQ colicky pain & jaundice.Endoscopy was done but it was normal. What is the likely Dx

a colonic diverticula
b angiodysplasia
c Zollinger Ellison syndrome
d Hemobilia
e occult PUD

[ArchivalUser]

d Hemobilia

[ArchivalUser]

ccccccc

[ArchivalUser]

ddddd

[ArchivalUser]

BB

[ArchivalUser]

anyone else

[ArchivalUser]

E.

[ArchivalUser]

stenosis u said anyone else? it means above ans r wrong? i m thinking of E but how can a person have hematemasis in occult PUD?

[ArchivalUser]

could be if its long standing and causes perforation, that explains the melena i guess

[ArchivalUser]

d Hemobilia