21st April 2024

A 52-year-old male presents with features of liver cirrhosis and portal hypertension

A 52-year-old male presents with features of liver cirrhosis and portal hypertension. On examination, he has tanned skin with multiple spider naevi, gynaecomastia and reduced axillary hair. He also has hepatosplenomegaly on abdominal exam. He has a past medical history of hypertension, diabetes mellitus and arthritis affecting his MCP joints. He has previously worked as a bartender in Spain and reports drinking 4 pints of beer/day.

Which of the following findings is most likely to be present in this gentleman?

Select the SINGLE most appropriate option from the list below. Select ONE option only.