A 56-year-old alcoholic man presents to the emergency department with confusion and lethargy. On physical examination, he is visibly jaundiced with ascites. Laboratory studies reveal increased prothrombin time and prolonged activated partial thromboplastin time, as well as significantly increased serum ammonia levels. Given a significantly increased serum ammonia, which of the following physical findings might you expect to see? (A) Asterixis (B) Capillary telangiectasias (C) Caput medusae (D) Gynecomastia (E) Palmar erythema

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