A 38-year-old man comes into the
emergency department presenting with fatigue and abdominal swelling. For several months, he has noticed that his abdomen has
been growing larger and that his skin has turned yellow. He denies any medical problems but admits to drinking alcohol every
day. On examination, his skin clearly has a yellow hue indicative of icterus. His palms have some redness. His abdomen is
markedly distended and tense, and a fluid wave is present. On the the surface of the abdomen there are prominent vascular
markings. What is the most likely diagnosis? What organs are likely to
be affected? What would you recommend for the patient?
Your submission is due by 12/15/11 at 11:59 pm.
Center for Disease Control