Alternate Name:
Test:
Biopsy cytology (+), Hb (L), S.folic acid (N or L),S.vit B,, (N or L), faecal occult blood (+ or -)
Sign:
Cachexia, coffee-grounds vomitus, haematemesis, abdominal mass
Dd:
Peptic ulcer, cholelithiasis, pancreatitis, gastritis,pancreatic neoplasm, coronary artery disease
Phys:
Usually an adenocarcinoma or lymphoma. Symptoms include weight loss, pain and vomiting. Suspicion should be aroused by ulcers that fail to heal
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