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
Answer is B. 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).