jb is a 53 yo male who was recently divorced. he has experienced periods of depression and decreased appetite. family reports history of heavy drinking habits and 15# weight lost. he was previously diagnosed with cirrhosis and portal hypertension and paracentesis and tips procedures were performed. mr. jb’s condition seems to have worsened; he c/o stomach pains, nausea, and vomiting at times. his abdomen is sore to touch and feels swollen. mr. jb has developed ascites and pedal edema; his urinary output has decreased and he continues to lose weight. mr. jb also c/o pain when swallowing food. because of jb’s persistent symptoms, he’s been admitted to the hospital.