A known alcoholic presents to to the emergency room with hematemesis. On examination he has ascites with splenomegaly and
gynaecomastia Diagnosis is -
Portal hypertension secondary to viral hepatitis
Budd Chiari Syndrome
Portal hypertension due to Alcoholic cirrhosis
Primary Sclerosing Cholangitis
The patient clearly has portal hypertension due to alcoholic cirrhosis (Gynaecomastia indicates cirrhosis as a cause of portal hypertension).