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MediumGastroenterologyCirrhotic ascitesca-mccqe1ca-rcpsc-im

A 62-year-old man with known cirrhosis from hepatitis C presents with increasing abdominal distension and ankle swelling. Examination shows shifting dullness and pitting oedema; there is no encephalopathy or variceal bleeding. His serum sodium and creatinine are normal. What is the most appropriate first-line pharmacologic management of his ascites?

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