A 58-year-old man with cirrhosis and ascites presents with fever and abdominal pain. Ascitic PMN is 650/µL. Optimal initial management includes which ...

Question

A 58-year-old man with cirrhosis and ascites presents with fever and abdominal pain. Ascitic PMN is 650/µL. Optimal initial management includes which adjunct?

Accepted Answer

Immediate TIPS placement

Answer

Diuretics escalation only

Answer

Albumin is unnecessary

Answer

Albumin 1.5 g/kg day 1 and 1 g/kg day 3 with antibiotics

Answer

Octreotide alone

us-abim MCQ (SBA): Spontaneous bacterial peritonitis

A 58-year-old man with cirrhosis and ascites presents with fever and abdominal pain. Ascitic PMN is 650/µL. Optimal initial management includes which adjunct?