171002. Mr. Silverio, 56 years old, has had significant problem with alcohol abuse for the past 15 years. His wife brings him to the emergency department because he is increasingly confused and is coughing blood. His medical diagnosis is cirrhosis of the ...

a. Bulging flanks

b. Protruding umbilicus

c. Abdominal distension

d. Bluish discoloration of the umbilicus