A 55 year old man with known cirrhosis and ascites is admitted with increasing abdominal distension and shortness of breath. Examination confirms tens...

Question

A 55 year old man with known cirrhosis and ascites is admitted with increasing abdominal distension and shortness of breath. Examination confirms tense ascites and shifting dullness. According to NICE ascites guidance, what is the most appropriate initial therapeutic intervention?

Accepted Answer

Perform large volume paracentesis with albumin infusion

Answer

Start high dose loop diuretic alone

Answer

Start beta blockers

Answer

Offer immediate liver transplant

Answer

Restrict fluids to 500 mL per day only

uk-plab-1 MCQ (SBA): Ascites in cirrhosis

A 55 year old man with known cirrhosis and ascites is admitted with increasing abdominal distension and shortness of breath. Examination confirms tense ascites and shifting dullness. According to NICE ascites guidance, what is the most appropriate initial therapeutic intervention?