1 Week Of Progressive in Medicine / Internal Medicine — 56yo Woman | Nephrology | SMLE Q#12297
SMLE Question #12297
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 56-year-old woman with alcoholic cirrhosis presents with 1 week of progressive bilateral leg swelling, increasing abdominal distension, and early satiety. She denies chest pain or shortness of breath. Examination shows tense ascites with shifting dullness and 2+ bilateral pitting oedema. She is alert and oriented. What is the most appropriate next step in management for her volume status and hyponatremia?
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