Signs and Symptoms
History
- Generally a history of cirrhosis or liver disease
- Painless hematemesis or melena
Physical Exam- Possible hypotension/tachycardia
- Small, hard liver
- Splenomegaly
- Ascites
- Visible abdominal periumbilical collateral circulation (Caput medusae)
- Spider angiomata on upper chest/back
- Palmar erythema
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