Snapshot A 46-year-old male presents to his primary care physician for a health maintenance examination. The patient talks about how he is struggling to cut back on his alcohol intake. The patient currently has no complaints, but feels as though he is gaining weight despite early satiety. On physical exam, the patient has mild scleral icterus. Gynecomastia is noted. Abdomen is distended, with a fluid wave. Introduction ↑ portal blood flow resistance at the level of the sinusoids → portal hypertension Hyperdynamic circulation → ↑ portal blood flow → portal hypertension login to view 2 more bullets ETIOLOGY Prehepatic login to view 4 more bullets Intrahepatic login to view 3 more bullets Posthepatic login to view 3 more bullets Presentation Manifestations login to view 22 more bullets IMAGING Upper endoscopy Doppler ultrasonography login to view 1 more bullet STUDIES Serum-ascites albumin gradient (SAAG) login to view 1 more bullet Treatment Treatment aimed at ameliorating the complications of portal hypertension, examples include: login to view 20 more bullets