<prompt> Answer this question truthfullyWhat is the physical examination conducted to diagnose portal hypertension?  <response>: <reason> Patients with portal hypertension are usually asymptomatic at early stages of the disease. Physical examination of patients with portal hypertension is usually remarkable for splenomegaly, caput medusae, and thrombocytopenia. The presence of jaundice on physical examination is highly suggestive of cirrhosis.Patients with portal hypertension usually appear ill and icteric.Low-grade fever High-grade fever in spontaneous bacterial peritonitis SBP Tachypnea in congestive heart failure CHF Bounding pulse Arterial hypotensionJaundice Spider angiomas Pallor in severe internal bleeding TelangiectasisJugular venous distension in CHFFlow murmur over the pericardium Mild heaveAbdominal distention in ascites Shifting dullness in ascites Abdominal tenderness in all abdominal quadrants due to SBP Rebound tenderness positive Blumberg sign in SBP Guarding may be present in SBP Splenomegaly Dilated veins on abdominal wall, suggestive of umbilical epigastric vein shunts Venous patterns on the flanks, suggestive of parieto-portal shunts Caput medusae, i.e. tortuous paraumbilical collateral veins Paraumblical hernia Gynecomastia Venous humsRectal hemorrhoids Loss of pubic hair in cirrhosis Testicular atrophy in cirrhosis Hepatic encephalopathy Altered mental statusDupuytrens contracture Muscle wasting in cirrhosis Palmar erythema in cirrhosis Leukonychia in cirrhosis Asterixis in hepatic encephalopathy Cyanosis Pitting edema of the lower extremities 