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Thirty-five years old lady has been chronically ill. She is brought to the casualty department with haematemesis and melaena. She looks pale and is drowsy. She has got multiple bruises over the skin and has flapping tremor the hands. Abdominal examination reveals moderate splenomegaly, decreased hepatic dullness and shifting dullness is also present.

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Clinical Case of the Week. By Dr Adil Ramzan
Now every week a new clinical case will be posted. Previously a new clinical case was posted every month. Thank you for your visit and participating. If you feel any problem while loading, answering or getting results of the above clinical case kindly feel free to comment below. We will look into the matter and solve the issue as soon as possible. If you have any other question kindly comment below (please don't spam) OR write us, we will get back to you as soon as possible. Kindly see the related posts for previous cases. Sincerely. Medicotips Support.

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