A male with Massive Abdominal Distension

Saw classical case today. Spot the diagnosis and discuss managenent

Patient known alcoholic now came with jaundice , pedal edema and decreased appetite. As a screening tool i have advised complete LFT, INR, USG abdomen and OGD scopy. Incedentally OGD shows this lind of picture in the stomach , what it could be ? Rest labs are like Hb10 ,Platlet 70000, INR 1.5, T Bili 3.2, Albumin 3.2, rest labs are normal . uSG shows mild ascites with corrhotic liver and large spleen.

48 years old patient presented with jaundice and hugely distended abdomen. He is a chronic alcoholic. Diagnosis with appropriate reasoning.

A chronic drug addict presented to us with complaints of Altered Sensorium, bleeding from mouth since 1 day....There is history of Alcohol abuse plus unknown drugs of all types which are available in the market...He is in shock right now...All the reports are attached...Discuss on the treatment approach and differentials

52/female brought to casualty in drowsy state with c/o progressively increasing jaundice since 2 months for which they were taking some ayurvedic medicines from a quack.  pt is non alcoholic, no h/o blood transfusion, fever, no h/o significant weight loss.  o/e- drowsy, pulse- 110/min, BP- 90/60. spo2 98% on air. icterus, pallor and pedal edema present.  P/A- liver palpable 4 cms and free fluid present.  within 1 hour of admission she started with profuse malena and hematemesis.  Ix showed Hb (6.8), TLC (10,300), Plt (4.17L), Total Bil (18), direct (10) indirect (8), OT/PT (265/121), Albumin (3.5),Globulin (3.1), serum ammonia 250, HBSAg, HCV negative, INR (1.8), Urea (46), creat (1.9), Na (145), K (2.9).  Diagnostic Ascitic tap was done and report attached (ADA and cytology awaited). USG and CT abdomen attached.  could it be malignancy?  can obstructive jaundice present directly at this terminal stage? patient had no h/o abdominal pains before and had no h/o gall stones.  Budd Chiari?