<prompt> In an emergency room an alcoholic patient enters with hematemesis. On examination he has ascites with splenomegaly and gynecomastia. Etiology isPortal hypertension secondary to viral hepatitisPortal hypertension due to Alcoholic cirrhosisBudd chiari syndromePrimary sclerosing cholangitis  <response>: Ans. b Portal hypertension due to alcholic cirrhosisRef: Sabiston 20th edition Page 1437 Clinical features and findings suggest that the patient is a known case of Alcoholic cirrhosis with portal hypertension. So most common cause in him is Varices bleeding 