2 Days Of Increasing in Medicine / Internal Medicine — 54yo Man | Gastroenterology | SMLE Q#12225
SMLE Question #12225
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 54-year-old man with hepatitis C–related cirrhosis presents with 2 days of increasing abdominal distension and diffuse dull abdominal pain. He has no fever, confusion, or gastrointestinal bleeding. Examination shows tense ascites with shifting dullness and mild diffuse tenderness without guarding or rebound. Ascitic fluid studies from paracentesis are available. What is the most appropriate immediate management?
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