Chronic Viral Hepatitis Has in Medicine / Internal Medicine — 50yo Man | Gastroenterology | SMLE Q#16618
SMLE Question #16618
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 50-year-old man with chronic viral hepatitis has progressive abdominal distension and early satiety for 3 months. Examination shows shifting dullness, bilateral pitting leg edema, visible abdominal wall veins, mild jaundice, and spider angiomata. Diagnostic paracentesis with paired serum testing is performed. Which of the following is the most likely cause of his ascites?
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