A 48-yrs-old male alcoholic with cirrhosis has bilateral gynecomastia. Which physical findings has the same pathogenesis as gynecomastia?
Caput medusae
Asterixis
Ascites
Spider angioma
Gynecomastia in male cirrhotics is caused by hyperes­trinism secondaty to the inability of the liver to metab­olize estrogens. Hyperestrinism results in the develop­ment of female secondary sex characteristics, palmar erythema, spider angioma, and testicular atrophy caused by decreased testosterone.