A 58-year-old man with a history of alcohol excess presents with jaundice, abdominal distension and bilateral ankle oedema. Examination shows shifting...

Question

A 58-year-old man with a history of alcohol excess presents with jaundice, abdominal distension and bilateral ankle oedema. Examination shows shifting dullness and spider naevi. He is haemodynamically stable. What is the most appropriate first-line pharmacological treatment for his ascites?

Accepted Answer

Spironolactone

Answer

Frusemide alone

Answer

Albumin infusion alone

Answer

Thiazide diuretic such as Bendroflumethiazide

Answer

Immediate transjugular intrahepatic portosystemic shunt (TIPS)

uk-plab-1 MCQ (SBA): Cirrhotic ascites

A 58-year-old man with a history of alcohol excess presents with jaundice, abdominal distension and bilateral ankle oedema. Examination shows shifting dullness and spider naevi. He is haemodynamically stable. What is the most appropriate first-line pharmacological treatment for his ascites?