Plzz guide. What is the problem nd what should b further treatment ?

52/female brought to casualty in drowsy state with c/o progressively increasing jaundice since 2 months for which they were taking some ayurvedic medicines from a quack.  pt is non alcoholic, no h/o blood transfusion, fever, no h/o significant weight loss.  o/e- drowsy, pulse- 110/min, BP- 90/60. spo2 98% on air. icterus, pallor and pedal edema present.  P/A- liver palpable 4 cms and free fluid present.  within 1 hour of admission she started with profuse malena and hematemesis.  Ix showed Hb (6.8), TLC (10,300), Plt (4.17L), Total Bil (18), direct (10) indirect (8), OT/PT (265/121), Albumin (3.5),Globulin (3.1), serum ammonia 250, HBSAg, HCV negative, INR (1.8), Urea (46), creat (1.9), Na (145), K (2.9).  Diagnostic Ascitic tap was done and report attached (ADA and cytology awaited). USG and CT abdomen attached.  could it be malignancy?  can obstructive jaundice present directly at this terminal stage? patient had no h/o abdominal pains before and had no h/o gall stones.  Budd Chiari? 

A male aged 38 years *Chief Complaints* Yellowish discoloration of eyes & urine Abdominal Distension Pedal Edema (x 20 days) *Physical Examination* Icterus (++) Spider Angioma seen on Forehead & Chest P/A - Distended, Prominent Abd Veins(+) BS(+)

50 Female ED suffering from fevar with chills and abd pain dd and treatment

A m/72 was suffering from pain & bilateral pedal edema from last few weeks. The Pt had a h/o bleeding piles for long 3 months. O/e- hb%-6.8, ESR- 65, CRP +, ASO TITRE - VE. Refereed for transfusion of 2 unit whole blood with medication. After 5 days Hb raised to 9.2, ESR 15, CRP + with rt sided pedal edema ++. Opinions solicitated.