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Surgery End-Stage Liver Disease and Liver Transplantation 34386792

A known alcoholic presents to to the emergency room with hematemesis. On examination he has ascites with splenomegaly and gynaecomastia Diagnosis is -

A
Portal hypertension secondary to viral hepatitis
B
Portal hypertension due to Alcoholic cirrhosis
C
Budd Chiari Syndrome
D
Primary Sclerosing Cholangitis
High-Yield Explanation
Ans. is 'b' i.e., Portal hypertension due to Alcoholic cirrhosis o The patient clearly has portal hypertension due to alcoholic cirrhosis (Gynaecomastia indicates cirrhosis as a cause of portal hypertension).

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