Question

A 47-year-old woman presents to her family physician with bloating, early satiety and unintentional weight loss of 6 kg over 2 months. She attributes it to stress. Examination reveals shifting dullness and pedal oedema. What is the most appropriate next step?

Accepted Answer

Order abdominal ultrasound and liver function tests urgently

Answer

Reassure and review in 3 months

Answer

Begin irritable bowel syndrome treatment

Answer

Start diuretics empirically without further investigation

Answer

Start antidepressants

Practice question

A 47-year-old woman presents to her family physician with bloating, early satiety and unintentional weight loss of 6 kg over 2 months. She attributes it to stress. Examination reveals shifting dullness and pedal oedema. What is the most appropriate next step?