Snapshot A 60-year-old man with a history of alcoholic cirrhosis presents to the emergency room after an episode of coffee-ground emesis. He had been drinking for the past few days and reports that he had not been eating properly. He is found to be fecal occult positive. On cutaneous exam, he has palmar erythema and scattered telangiectasias. Introduction Overview login to view 2 more bullets Epidemiology login to view 10 more bullets Pathogenesis login to view 5 more bullets Associated conditions login to view 6 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 8 more bullets Studies Serum labs login to view 2 more bullets Invasive studies login to view 6 more bullets Differential Peptic ulcer disease login to view 2 more bullets Treatment Medical login to view 29 more bullets Surgical login to view 10 more bullets Complications Variceal bleeding Hepatic encephalopathy Hepatorenal syndrome