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) Budd Chiari Syndrome, (C) Portal hypertension due to Alcoholic cirrhosis, (D) Primary Sclerosing Cholangitis
Answer is C. The patient clearly has portal hypertension due to alcoholic cirrhosis (Gynaecomastia indicates cirrhosis as a cause of portal hypertension).