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Enlarged breasts in men (gynecomastia) — Liver damage (alcoholism) causing an increase in estrogen.

Protuberance of the abdomen — This must be differentiated from general obesity, air from CPR, and fluid accumulation from disease (i.e., blood or fluid from ruptures or liver disease).

Barrel-shaped chest — Chronic emphysema.

Tense (tight) abdomen — Accumulated blood or fluid in the peritoneal cavity. It may be from a natural process such as alcoholism or cancer or trauma.

Blood emanating from the anus — Cancer or rupture of blood vessels complicating alcoholism.

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