Progressive Abdominal Distension in Medicine / Internal Medicine — 48yo Woman | Gastroenterology | SMLE Q#19389
SMLE Question #19389
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-ASCITES-001
Last updated: April 2026
A 48-year-old woman presents with progressive abdominal distension for 3 weeks. She has no fever, weight loss, jaundice, hematemesis, or leg swelling. She completed treatment for pulmonary tuberculosis 10 years ago. Examination shows shifting dullness with no stigmata of chronic liver disease and no raised JVP. Diagnostic paracentesis and paired serum studies are obtained. What is the most likely cause of her ascites?
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