<prompt> 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 hepatitisPortal hypertension due to Alcoholic cirrhosisBudd Chiari SyndromePrimary Sclerosing Cholangitis  <response>: 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. 