A 50 year old man has a 10 year history of chronic active hepatitis from the hepatitis C virus. He is brought to the emergency room because of cachexia and disturbed mental
status. On physical examination, the patient has palmar erythema and clubbing. He is jaundiced with massive ascites. He has asterixis. Laboratory data reveals severe hypoalbuminemia and hyperbilirubinemia.
Which of the following is the most likely diagnosis?
a. Child’s class A cirrhosis
b. Child’s class B cirrhosis
c. Child’s class C cirrhosis
d. Child’s class D cirrhosis
e. Child’s class E cirrhosis