A man presents with history of hemetemesis of about 500ml of blood

[Medicoman]

A man presents with history of hemetemesis of about 500ml of blood. On examination, spleen is palpable 5 cms below the left costal margin. The most likely diagnosis is -

• 1. Portal Hypertension
• 2. Gastric ulcer
• 3. Drug induced
• 4. Mallory Weiss Tear

Lalloo, 60 years of age, a known case of cirrhosis liver, presents with increased levels of Alpha feto protein, hepatomegaly 3 cm below costal margin.USG showed lesions involving the right lobe of the liver. What is the most probable diagnosis -

• 1. Focal nodular hyper-plasia
• 2. Hepatocellular carinoma
• 3. Hepatic adenoma
• 4. Metastasis